Graduated: 2018
Offers telehealth
NPI: 1275008096
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
12345 SW HORIZON BLVD, SUITE 57
BEAVERTON, OR 970079475
5032168820
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
Enterprise, OR 978285124
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
ENTERPRISE, OR 978285124
5414265460
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
Source: CMS National Downloadable File, September 2026.