Medical school: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated: 2009
NPI: 1346484144
Practice Locations (3)
550 W SPERRY ST, PO BOX 469
HEPPNER, OR 978362060
PO BOX, SUITE 469
HEPPNER, OR 97836
2241 LLOYD CTR
PORTLAND, OR 972321315
Source: CMS National Downloadable File, September 2026.