Graduated: 2024
NPI: 1316781008
Practice Locations (2)
NORTH BEND MEDICAL CENTER INC
1900 WOODLAND DR
COOS BAY, OR 974202045
5412675151
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1025 S 2ND AVE
WALLA WALLA, WA 993624116
5098973000
Source: CMS National Downloadable File, September 2026.