Medical school: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
Offers telehealth
NPI: 1275518797
Practice Locations (2)
ST CHARLES HEALTH SYSTEM INC
2115 NE WYATT CT
BEND, OR 977017678
5413823344
NORTHWEST MEDICAL SPECIALIST LLC
2115 NE WYATT CT, SUITE 201
BEND, OR 977017680
5415852400220
Source: CMS National Downloadable File, September 2026.