Medical school: EAST TENNESSEE STATE UNIVERSITY QUILLEN COLLEGE OF MEDICINE
Graduated: 1987
NPI: 1295843308
Practice Locations (2)
SAMARITAN PACIFIC HEALTH SERVICES INC
930 SW ABBEY ST
NEWPORT, OR 973654820
5412652244
SAMARITAN PACIFIC HEALTH SERVICES INC
930 SW ABBEY ST, SUITE B
NEWPORT, OR 973654820
5415747235
Source: CMS National Downloadable File, September 2026.