Graduated: 2007
NPI: 1295901841
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
727 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
PROVIDENCE HEALTH AND SERVICES OREGON
113 S HWY 101
WARRENTON, OR 971469314
5038616500
PEACEHEALTH
16811 SE MCGILLIVRAY BLVD
VANCOUVER, WA 986833404
3607358100
Source: CMS National Downloadable File, September 2026.