Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1104875855
Practice Locations (3)
305 SW C AVE
CORVALLIS, OR 973334400
5412073900
4650 HARRISON BLVD
OGDEN, UT 844034303
OGDEN CLINIC SPECIALTY SERVICES LLC
4650 HARRISON BLVD
OGDEN, UT 844034303
8014753482
Source: CMS National Downloadable File, September 2026.