Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1999
NPI: 1497727150
Practice Locations (2)
UMPQUA COMMUNITY HEALTH CENTER INC
20170 N UMPQUA HWY
GLIDE, OR 974439620
5414963504
UMPQUA COMMUNITY HEALTH CENTER INC
150 NE KENNETH FORD DR
ROSEBURG, OR 974701042
5416729596
Source: CMS National Downloadable File, September 2026.