Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1164535118
Practice Locations (5)
ICCO LLC
1445 GATEWAY BLVD
COTTAGE GROVE, OR 974241224
5419427000
ICCO LLC
1800 COBURG RD
EUGENE, OR 974014995
5413458760
ICCO LLC
2710 WILLAMETTE ST
EUGENE, OR 974053238
5417353161
ICCO LLC
598 E 13TH AVE
EUGENE, OR 974014783
5416363473
ICCO LLC
1740 NW GOETZ ST
ROSEBURG, OR 974711613
5416724885
Source: CMS National Downloadable File, September 2026.