Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2015
Offers telehealth
NPI: 1942689930
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 972209437
5032159900
Source: CMS National Downloadable File, September 2026.