Medical school: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated: 1993
NPI: 1376570036
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES OREGON
4004 KRUSE WAY PL, SUITE 300
LAKE OSWEGO, OR 970352479
5032161500
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 454
PORTLAND, OR 972132984
5032156405
PROVIDENCE HEALTH AND SERVICES OREGON
9135 SW BARNES RD
PORTLAND, OR 972256777
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
Source: CMS National Downloadable File, September 2026.