Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 2011
Offers telehealth
NPI: 1962796508
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10330 SE 32ND AVE, SUITE 205
MILWAUKIE, OR 972226594
5035138950
Source: CMS National Downloadable File, September 2026.