Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2002
Offers telehealth
NPI: 1891737201
Practice Locations (3)
DIRECT DERMATOLOGY PROFESSIONALS PC
165 SAINT DOMINICS DR, SUITE 120
MANTECA, CA 953377802
8559447546
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
417 SW 117TH AVE
PORTLAND, OR 972255924
Source: CMS National Downloadable File, September 2026.