Medical school: WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1104860584
Practice Locations (2)
NORTHWEST SURGICAL SPECIALISTS PC
1 N CTR COURT ST, 110 REBOUND SPORTS MEDICINE
PORTLAND, OR 972272104
5037326863
NORTHWEST SURGICAL SPECIALISTS PC
200 NE MOTHER JOSEPH PL, 110 REBOUND ORTHOPEDICS
VANCOUVER, WA 986643293
3602546161
Source: CMS National Downloadable File, September 2026.