Graduated: 2021
NPI: 1023676483
Practice Locations (2)
CENTRAL MAINE MEDICAL CENTER
300 MAIN ST
LEWISTON, ME 042407027
2077950111
PROVIDENCE HEALTH AND SERVICES OREGON
810 12TH ST
HOOD RIVER, OR 970311587
5413876138
Source: CMS National Downloadable File, September 2026.