Medical school: UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated: 2011
NPI: 1457646887
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES - OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325250
ASANTE
2825 E BARNETT RD
MEDFORD, OR 975048332
5417897000
Source: CMS National Downloadable File, September 2026.