Graduated: 2012
Also: INTERNAL MEDICINE
NPI: 1366709792
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325545
MULTICARE HEALTH SYSTEM
4700 POINT FOSDICK DR
GIG HARBOR, WA 983351706
Source: CMS National Downloadable File, September 2026.