Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 2014
NPI: 1922411404
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417326274
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032152669
Source: CMS National Downloadable File, September 2026.