Graduated: 2021
NPI: 1255094967
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
171 N LARCH ST
CANNON BEACH, OR 971103103
5037177000
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
PROVIDENCE HEALTH AND SERVICES OREGON
113 S HWY 101
WARRENTON, OR 971469314
5038616500
Source: CMS National Downloadable File, September 2026.