Medical school: UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated: 2005
NPI: 1396797759
Practice Locations (1)
SISKIYOU COMMUNITY HEALTH CENTER INC
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 975261051
5414724777
Source: CMS National Downloadable File, September 2026.