Graduated: 2025
NPI: 1881303857
Practice Locations (5)
603 MEDICAL PKWY
ENTERPRISE, OR 978285124
1919 NW LOVEJOY ST
Portland, OR 972091503
1919 NW LOVEJOY ST
PORTLAND, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
81 HOOD RD
UNDERWOOD, WA 986519234
Source: CMS National Downloadable File, September 2026.