Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 2006
NPI: 1083814099
Practice Locations (3)
CENTENNIAL MEDICAL GROUP EAST LLC
145 NE BROADWAY ST
MYRTLE CREEK, OR 974579039
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
Roseburg, OR 974716214
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
Source: CMS National Downloadable File, September 2026.