3181 SW Sam Jackson Park Rd Portland, OR 97239-3011 (503) 494-9000
Enumerated
May 30, 2007
Record last updated
Jun 18, 2025
License states listed
OR, SC
Medicare (CMS)
Enrollment
Medicare-enrolled in AL, AR, AZ, CA, DE, FL, GA, ID, IL, IN, KS, KY, ME, MO, MT, NC, NM, NY, OH, OK, OR, PA, SC, TX, VA, WV Critical Care (Intensivists), Internal Medicine
Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.