Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 1993
NPI: 1215940622
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
727 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
ANESTHESIA ASSOCIATES NORTHWEST LLC
8506 E MILL PLAIN BLVD, SUITE C
VANCOUVER, WA 986642021
3608230883
Source: CMS National Downloadable File, September 2026.