Medical school: LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2003
NPI: 1366480915
Practice Locations (2)
219 NW E ST, SUITE NE
GRANTS PASS, OR 975262045
5413153441
PO BOX, SUITE 1268
GRANTS PASS, OR 975280313
Source: CMS National Downloadable File, September 2026.