Medical school: UNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1205022183
Practice Locations (2)
GRANDE RONDE HOSPITAL INC
PO BOX
LA GRANDE, OR 97850
GRANDE RONDE HOSPITAL INC
PO BOX, SUITE 3290
LA GRANDE, OR 97850
Source: CMS National Downloadable File, September 2026.