Graduated: 2005
NPI: 1275584534
Practice Locations (2)
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
Enterprise, OR 978285124
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
ENTERPRISE, OR 978285124
5414265460
Source: CMS National Downloadable File, September 2026.