Medical school: OREGON HEALTH & SCIENCES UNIV SCHOOL OF DENTISTRY
Graduated: 2022
NPI: 1942957840
Practice Locations (3)
211 SE CARUTHERS ST
Portland, OR 972144502
211 SE CARUTHERS ST, ATTN RAY DUNN
Portland, OR 972144502
PO BOX
PORTLAND, OR 97207
Source: CMS National Downloadable File, September 2026.