Medical school: UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1033101324
Practice Locations (2)
CONFEDERATED TRIBES OF SILETZ
200 GWEE SHUT RD
SILETZ, OR 973802036
5414441030
CONFEDERATED TRIBES OF SILETZ
200 GWEE SHUT RD, PO BOX 320
SILETZ, OR 973802036
Source: CMS National Downloadable File, September 2026.