Medical school: UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Graduated: 1998
NPI: 1306946165
Practice Locations (2)
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
200 SE HWY 224
ESTACADA, OR 970237022
5036305511
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
200 SE HWY 224, SUITE 100
ESTACADA, OR 970237022
5036305511
Source: CMS National Downloadable File, September 2026.