Medical school: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1995
Also: FAMILY PRACTICE
Offers telehealth
NPI: 1447227152
Practice Locations (1)
ST CHARLES HEALTH SYSTEM INC
2042 NE WILLIAMSON CT, SLEEP CENT
BEND, OR 977013760
5417066905
Source: CMS National Downloadable File, September 2026.