Graduated: 2003
NPI: 1053684696
Practice Locations (2)
THE CORVALLIS CLINIC P C
3680 NW SAMARITAN DR
CORVALLIS, OR 973303737
5417541150
UT PHYSICIANS
6400 FANNIN ST, SUITE 1400
HOUSTON, TX 770301512
7137043450
Source: CMS National Downloadable File, September 2026.