Graduated: 2018
NPI: 1922508365
Practice Locations (4)
5285 MEADOWS RD, SUITE 170
LAKE OSWEGO, OR 970353196
1220 SW 66TH AVE, APT 2116
PORTLAND, OR 972256086
224 S HAMILTON ST, SUITE 201
PORTLAND, OR 972394784
9717109747
6419 NE 105TH CIR
VANCOUVER, WA 986867010
Source: CMS National Downloadable File, September 2026.