Graduated: 2012
NPI: 1154862092
Practice Locations (2)
MOSAIC COMMUNITY HEALTH
2065 NE TUCSON WAY, APT 110
BEND, OR 977015182
5413833005
DESCHUTES COUNTY OREGON
2577 NE COURTNEY DR
BEND, OR 977017638
5413227400
Source: CMS National Downloadable File, September 2026.