Graduated: 1996
Also: INTERNAL MEDICINE
NPI: 1174716427
Practice Locations (11)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10180 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
Roseburg, OR 974716214
CENTENNIAL MEDICAL GROUP EAST LLC
2570 NW EDENBOWER BLVD
ROSEBURG, OR 974716214
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
ROSEBURG, OR 974716214
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
CENTENNIAL MEDICAL GROUP EAST LLC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
SOUTH SOUND INPATIENT PHYSICIANS PLLC
2520 CHERRY AVE
BREMERTON, WA 983104229
3603773911
GRAYS HARBOR COUNTY PUBLIC HOSPITAL DISTRICT NO 1
600 E MAIN ST
ELMA, WA 985419560
3603462222
SOUTH SOUND INPATIENT PHYSICIANS PLLC
407 14TH AVE SE
PUYALLUP, WA 983723770
2536974000
SOUTH SOUND INPATIENT PHYSICIANS PLLC
400 NE MOTHER JOSEPH PL
VANCOUVER, WA 986643200
3605143727
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.