Graduated: 2011
NPI: 1205176617
Practice Locations (3)
BARTON HEALTHCARE SYSTEM
2170 S AVE
SOUTH LAKE TAHOE, CA 961507026
5305435553
SOUTHERN COOS HEALTH DISTRICT
900 11TH ST SE
Bandon, OR 974119114
SOUTHERN COOS HEALTH DISTRICT
900 11TH ST SE
BANDON, OR 974119114
5413472426
Source: CMS National Downloadable File, September 2026.