Medical school: UNIVERSITY OF CALIFORNIA, GEFFEN SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1962496885
Practice Locations (2)
MULTNOMAH COUNTY
600 NE 8TH ST
GRESHAM, OR 970307317
5039887468
MULTNOMAH COUNTY
619 NW 6TH AVE
PORTLAND, OR 972093964
5039887468
Source: CMS National Downloadable File, September 2026.