Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1991
NPI: 1366437998
Practice Locations (2)
LAKE HEALTH DISTRICT
1250 S 9TH ST
LAKEVIEW, OR 976301913
5419472114404
LAKE HEALTH DISTRICT
700 S J ST
LAKEVIEW, OR 976301623
5419472114
Source: CMS National Downloadable File, September 2026.