Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1998
NPI: 1497793749
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
810 12TH ST
HOOD RIVER, OR 970311587
5413876138
MID-COLUMBIA MEDICAL CENTER
1700 E 19TH ST
THE DALLES, OR 970583317
5412961111
Source: CMS National Downloadable File, September 2026.