Graduated: 1998
NPI: 1295912814
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1500 DIVISION ST
OREGON CITY, OR 970451527
5035572136
PROVIDENCE HEALTH AND SERVICES OREGON
1500 DIVISION ST, SUITE 220
OREGON CITY, OR 970451527
5035131900
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
Source: CMS National Downloadable File, September 2026.