Medical school: STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Graduated: 1991
NPI: 1104998962
Practice Locations (6)
GOOD SHEPHERD HEALTH CARE SYSTEM
600 NW 11TH ST, SUITE E37
HERMISTON, OR 978388604
5416673400
GRANDE RONDE HOSPITAL INC
900 SUNSET DR
LA GRANDE, OR 978501387
5419638421
WILLAMETTE RADIOLOGY BILLING SERVICES LLC
2700 SE STRATUS AVE
MCMINNVILLE, OR 971286255
5034356322
TUALATIN IMAGING PC
19300 SW 65TH AVE
TUALATIN, OR 970627706
5036927447
PRIVIA MEDICAL GROUP WASHINGTON PLLC
7427 SW COHO CT, SUITE 200
TUALATIN, OR 970628618
5034137800
PRIVIA MEDICAL GROUP WASHINGTON PLLC
55 W TIETAN ST
WALLA WALLA, WA 993624445
50952537201405
Source: CMS National Downloadable File, September 2026.