Graduated: 1998
Offers telehealth
NPI: 1134151822
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417326274
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 315
PORTLAND, OR 972132982
5032158580
PROVIDENCE HEALTH AND SERVICES OREGON
6350 NE HALSEY ST
PORTLAND, OR 972134720
5032150750
Source: CMS National Downloadable File, September 2026.