Graduated: 2013
NPI: 1912349184
Practice Locations (3)
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
MULTNOMAH COUNTY
3653 SE 34TH AVE
PORTLAND, OR 972023034
503988366325879
MULTNOMAH COUNTY
3653 SE 34TH AVE, SOUTHEAST HEALTH CENTER
PORTLAND, OR 972023034
503988366325879
Source: CMS National Downloadable File, September 2026.