Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1986
NPI: 1275568735
Practice Locations (2)
860 N MYRTLE RD
Myrtle Creek, OR 974579626
860 N MYRTLE RD
MYRTLE CREEK, OR 974579626
5418633410
Source: CMS National Downloadable File, September 2026.