Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2013
Offers telehealth
NPI: 1871899740
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 520
PORTLAND, OR 972103097
5034137557
LEGACY MERIDIAN PARK HOSPITAL
19260 SW 65TH AVE, SUITE 165
TUALATIN, OR 970625706
5034136550
Source: CMS National Downloadable File, September 2026.