Graduated: 2008
NPI: 1467795864
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325545
SOUTHERN OREGON HOSPITALISTS PC
2825 E BARNETT RD
MEDFORD, OR 975048332
5412826770
Source: CMS National Downloadable File, September 2026.