Medical school: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1993
NPI: 1093757148
Practice Locations (6)
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
10445 NEAHKAHNIE CREEK RD, ADVENTIST HEALTH
MANZANITA, OR 971300129
5038152260
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3RD ST
TILLAMOOK, OR 971413430
5038152260
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3RD ST
TILLAMOOK, OR 971413497
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1011 3RD ST
TILLAMOOK, OR 971418292
5039152280
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1100 3RD ST
TILLAMOOK, OR 971413402
5038152280
Source: CMS National Downloadable File, September 2026.