Graduated: 2020
NPI: 1346834777
Practice Locations (2)
BEND MEMORIAL CLINIC PC
1501 NE MEDICAL CTR DR
BEND, OR 977016051
5413822811
G STREET INTEGRATED HEALTH
1435 G ST
SPRINGFIELD, OR 974774113
5417359420
Source: CMS National Downloadable File, September 2026.