Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 2001
NPI: 1184671620
Practice Locations (4)
PORTLAND CLINIC
800 SW 13TH AVE
PORTLAND, OR 972051902
50322101612110
SALEM CLINIC PC
2020 CAPITOL ST NE
SALEM, OR 973010644
5033992424
SALEM RADIOLOGY CONSULTANTS PC
2925 RYAN DR SE
SALEM, OR 973019687
5033991262
SANTIAM MEMORIAL HOSPITAL
1401 N 10TH AVE
STAYTON, OR 973831311
5037692175
Source: CMS National Downloadable File, September 2026.