Medical school: NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1991
NPI: 1285684001
Practice Locations (2)
UMPQUA COMMUNITY HEALTH CENTER INC
20170 N UMPQUA HWY
GLIDE, OR 974439620
5414963504
UMPQUA COMMUNITY HEALTH CENTER INC
150 NE KENNETH FORD DR
ROSEBURG, OR 974701042
5416729596
Source: CMS National Downloadable File, September 2026.