Medical school: PACIFIC NW UN OF HS, COL OF OSTEOPATHIC MEDICINE
Graduated: 2023
NPI: 1912609751
Practice Locations (3)
PO BOX
PORTLAND, OR 97208
700 NE 87TH AVE
Vancouver, WA 986641913
700 NE 87TH AVE
VANCOUVER, WA 986641913
Source: CMS National Downloadable File, September 2026.