Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2011
Offers telehealth
NPI: 1891049128
Practice Locations (1)
LEGACY MERIDIAN PARK HOSPITAL
2020 8TH AVE, SUITE 100
WEST LINN, OR 970684657
5036553320
Source: CMS National Downloadable File, September 2026.