Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2003
Offers telehealth
NPI: 1871525303
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 226
MILWAUKIE, OR 972226699
5035138950
Source: CMS National Downloadable File, September 2026.