Medical school: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated: 2021
NPI: 1922748615
Practice Locations (4)
1601 CUMMINS DR, SUITE D
Benicia, CA 945103232
1601 CUMMINS DR, SUITE D
BENICIA, CA 945103232
815 NW 9TH ST, SUITE 215
CORVALLIS, OR 973306173
PO BOX
PORTLAND, OR 97208
Source: CMS National Downloadable File, September 2026.