Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1998
NPI: 1386696490
Practice Locations (2)
ASANTE THREE RIVERS MEDICAL CENTER LLC
500 SW RAMSEY AVE
GRANTS PASS, OR 975275554
5414727000
ASANTE
2825 E BARNETT RD
MEDFORD, OR 975048332
5417897000
Source: CMS National Downloadable File, September 2026.