Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1989
Also: FAMILY PRACTICE
NPI: 1457388191
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
870 S FRONT ST, SUITE 200
CENTRAL POINT, OR 975022779
5416643346
Source: CMS National Downloadable File, September 2026.