Medical school: WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduated: 2022
NPI: 1467196329
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
5035375612
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 325
NEWBERG, OR 971327521
5032161661
Source: CMS National Downloadable File, September 2026.