Medical school: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1205870334
Practice Locations (2)
SALEM CLINIC PC
2020 CAPITOL ST NE
SALEM, OR 973010644
5033992424
SALEM CLINIC PC
2531 BOONE RD SE
SALEM, OR 973069675
5033992424
Source: CMS National Downloadable File, September 2026.