Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1891749149
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
440 NW DIVISION ST
GRESHAM, OR 970305506
5032159500
THE OREGON CLINIC, PC
4805 NE GLISAN
PORTLAND, OR 972132933
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
THE OREGON CLINIC, PC
5050 NE HOYT, SUITE 655
PORTLAND, OR 972132990
5032396673
Source: CMS National Downloadable File, September 2026.