Medical school: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1969
Offers telehealth
NPI: 1437226008
Practice Locations (1)
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
2589 NW EDENBOWER BLVD
ROSEBURG, OR 974716224
5416728533
Source: CMS National Downloadable File, September 2026.