Medical school: EASTERN VIRGINIA MEDICAL SCHOOL
Graduated: 1995
NPI: 1104865658
Practice Locations (2)
NORTH BEND MEDICAL CENTER INC
1900 WOODLAND DR
COOS BAY, OR 974202045
5412675151
GOOD SHEPHERD HEALTH CARE SYSTEM
610 NW 11TH ST
HERMISTON, OR 978386601
5416673400
Source: CMS National Downloadable File, September 2026.