Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1346288164
Practice Locations (3)
SALEM HEALTH
890 OAK ST SE, SUITE 4000
SALEM, OR 973013905
5038144048
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
101 W 8TH AVE
SPOKANE, WA 992042307
5094743131
PROVIDENCE HEALTH AND SERVICE- WASHINGTON
401 W POPLAR ST
WALLA WALLA, WA 993622846
5098973320
Source: CMS National Downloadable File, September 2026.