Graduated: 2018
NPI: 1124582820
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES - OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325250
VALLEY IMMEDIATE CARE, LLC
1600 DELTA WATERS RD, SUITE 107
MEDFORD, OR 975049114
5418582515
PROVIDENCE HEALTH AND SERVICES OREGON
1698 E MCANDREWS RD, SUITE 200
MEDFORD, OR 975045594
5417325537
Source: CMS National Downloadable File, September 2026.