Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 2003
NPI: 1285736686
Practice Locations (1)
ST CHARLES HEALTH SYSTEM INC
2500 NE NEFF RD
BEND, OR 977016015
5417062768
Source: CMS National Downloadable File, September 2026.