Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1991
Also: EMERGENCY MEDICINE
NPI: 1154485514
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035138300
Source: CMS National Downloadable File, September 2026.