Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1988
NPI: 1922013424
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
15700 SW GREYSTONE CT
BEAVERTON, OR 970066011
5034943442
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.