specializing in general practice in Beaverton, Oregon

NPI: 1659730760

Provider Type

2

Practice Locations

Mailing Location

6838 ELLICOTT DR

SUITE A

EAST SYRACUSE, NY 13057

📞 8884078015

Practice Location

14525 SW MILLIKAN WAY

BEAVERTON, OR 97005

📞 4433426879

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:2/17/2016
Last Updated:2/7/2017

Credentials

Primary Credential:
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