Graduated: 2014
NPI: 1356769798
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325545
PROVIDENCE HEALTH AND SERVICES OREGON
920 ROYAL AVE
MEDFORD, OR 975046169
5417328400
PROVIDENCE HEALTH AND SERVICES OREGON
940 ROYAL AVE
MEDFORD, OR 975046194
Source: CMS National Downloadable File, September 2026.