Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2003
NPI: 1902813066
Practice Locations (4)
12325 SW HORIZON BLVD, SUITE 27
Beaverton, OR 970079474
12325 SW HORIZON BLVD, SUITE 27
BEAVERTON, OR 970079474
5035975647
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
727 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
Source: CMS National Downloadable File, September 2026.