Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1043283336
Practice Locations (1)
ST CHARLES HEALTH SYSTEM INC
1245 NW 4TH ST, 101 SURG SPECI
REDMOND, OR 977561680
5415487761
Source: CMS National Downloadable File, September 2026.