Medical school: EDWARD VIA COL OF OSTEO MEDICINE-VIRGINIA CAMPUS
Graduated: 2018
NPI: 1932699360
Practice Locations (3)
1919 NW LOVEJOY ST
Portland, OR 972091503
1919 NW LOVEJOY ST
PORTLAND, OR 972091503
2850 NW 31ST AVE
PORTLAND, OR 972101720
Source: CMS National Downloadable File, September 2026.