https://www.jrdmd.com/appointments daily 0.75 2026-04-20 https://images.squarespace-cdn.com/content/v1/5eeed4d3a6185b0158c5e349/1619994774970-MONBB82ITKY2V5B1DEL8/Orchid+drawing+inverse.jpg Appointments - For an initial consultation and fees, call (415) 814-2027. Initial consultations are an opportunity for us to meet and determine if we want to establish a treatment relationship. With regards to insurance, I am an out-of-network provider. Invoices are provided for patients who wish to submit claims with their insurance companies. Offices in Lake Oswego, Oregon and San Francisco, California. https://www.jrdmd.com/practice daily 0.75 2020-06-29 https://www.jrdmd.com/testimonial daily 0.75 2020-07-11 https://images.squarespace-cdn.com/content/v1/5eeed4d3a6185b0158c5e349/1593395128613-YPRNKQNE4WJX8J2K8BFJ/Orchid%2Bdrawing%2B3.jpg Testimonial https://www.jrdmd.com/credentials daily 0.75 2021-05-02 https://www.jrdmd.com/home daily 1.0 2026-04-20 https://images.squarespace-cdn.com/content/v1/5eeed4d3a6185b0158c5e349/1593394032873-TG0GVHWHVJ81GKASQ15V/Orchid%2Bdrawing%2B1.jpg Home