Graduated: 2007
NPI: 1033403084
Practice Locations (2)
BEND MEMORIAL CLINIC PC
1501 NE MEDICAL CTR DR
BEND, OR 977016051
5413822811
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 155
PORTLAND, OR 972132956
5032156819
Source: CMS National Downloadable File, September 2026.