Graduated: 2019
NPI: 1952778839
Practice Locations (3)
111 SW NAITO PKWY, SUITE 200
Portland, OR 972043512
111 SW NAITO PKWY, SUITE 200
PORTLAND, OR 972043512
11120 NE 33RD PL, SUITE 202
BELLEVUE, WA 980041444
Source: CMS National Downloadable File, September 2026.