Graduated: 2003
NPI: 1164404786
Practice Locations (3)
MID-COLUMBIA MEDICAL CENTER
1620 E 12TH ST
THE DALLES, OR 970583213
5412969151
MID-COLUMBIA MEDICAL CENTER
551 LONE PINE BLVD
THE DALLES, OR 970589404
MID-COLUMBIA MEDICAL CENTER
PO BOX
THE DALLES, OR 97058
Source: CMS National Downloadable File, September 2026.