Medical school: CHICAGO COLLEGE OF MEDICINE AND SURGERY
Graduated: 1999
Offers telehealth
NPI: 1356437230
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1698 E MCANDREWS RD
MEDFORD, OR 975045590
PROVIDENCE HEALTH AND SERVICES OREGON
940 ROYAL AVE
MEDFORD, OR 975046194
Source: CMS National Downloadable File, September 2026.