Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1994
Also: INTERNAL MEDICINE
Offers telehealth
NPI: 1871509364
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9155 SW BARNES RD, SUITE 638
PORTLAND, OR 972256633
5032167000
Source: CMS National Downloadable File, September 2026.