Graduated: 1991
NPI: 1497755524
Practice Locations (2)
BEND MEMORIAL CLINIC PC
1501 NE MEDICAL CTR DR
BEND, OR 977016051
5413822811
PROVIDENCE HEALTH AND SERVICES OREGON
1108 JUNE ST
HOOD RIVER, OR 970311513
5413876125
Source: CMS National Downloadable File, September 2026.