Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 2004
NPI: 1205015518
Practice Locations (2)
SAMARITAN PACIFIC HEALTH SERVICES INC
930 SW ABBEY ST
NEWPORT, OR 973654820
5412652244
SAMARITAN PACIFIC HEALTH SERVICES INC
930 SW ABBEY ST, SUITE B
NEWPORT, OR 973654820
5415747235
Source: CMS National Downloadable File, September 2026.