Medical school: SOUTHERN METHODIST UNIVERSITY MEDICAL DEPARTMENT
Graduated: 2005
NPI: 1114366952
Practice Locations (2)
10168 LAKEVIEW DR
Clatskanie, OR 970167278
10168 LAKEVIEW DR
CLATSKANIE, OR 970167278
5038807180
Source: CMS National Downloadable File, September 2026.