Graduated: 2024
NPI: 1053131276
Practice Locations (5)
770 E 11 AVE
EUGENE, OR 974013746
880 82ND DR
GLADSTONE, OR 970271803
2600 STEAM WAY SPC, 14A
MEDFORD, OR 975011921
2825 E BARNETT RD MSS
MEDFORD, OR 975048332
1115 SE 164TH AVE DEPT, SUITE 358
Vancouver, WA 986838004
Source: CMS National Downloadable File, September 2026.