Graduated: 2015
NPI: 1225534597
Practice Locations (2)
NORTH BEND MEDICAL CENTER INC
1900 WOODLAND DR
COOS BAY, OR 974202045
5412675151
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
Source: CMS National Downloadable File, September 2026.