Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2000
NPI: 1508945312
Practice Locations (1)
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
2589 NW EDENBOWER BLVD
ROSEBURG, OR 974716224
5416728533
Source: CMS National Downloadable File, September 2026.