Graduated: 2012
NPI: 1922637503
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 168
PORTLAND, OR 972103036
5034137022
EYE HEALTH NORTHWEST PC
9555 SW BARNES RD, SUITE 100
PORTLAND, OR 972256668
5032969933
Source: CMS National Downloadable File, September 2026.