Medical school: DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated: 1983
NPI: 1447359914
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 180
HILLSBORO, OR 971231963
9715014930
Source: CMS National Downloadable File, September 2026.