Graduated: 1997
NPI: 1205943511
Practice Locations (5)
TANANA VALLEY CLINIC LLC
1001 NOBLE ST
FAIRBANKS, AK 997014948
9074593500
TANANA VALLEY CLINIC LLC
1650 COWLES ST
FAIRBANKS, AK 997015998
TANANA VALLEY CLINIC LLC
1650 COWLES ST, SUITE 542
FAIRBANKS, AK 997015998
BAY AREA HOSPITAL DISTRICT
1775 THOMPSON RD
COOS BAY, OR 974202125
5412698280
GRANDE RONDE HOSPITAL INC
900 SUNSET DR
LA GRANDE, OR 978501387
5419638421
Source: CMS National Downloadable File, September 2026.