Graduated: 1986
NPI: 1306996814
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
810 12TH ST
HOOD RIVER, OR 970311587
5413876138
GORGE ANESTHESIA SERVICES LLC
1020 WEBBER ST
THE DALLES, OR 970583749
5417690426
Source: CMS National Downloadable File, September 2026.