Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1992
NPI: 1518970946
Practice Locations (2)
SALEM HEALTH
5050 SKYLINE VILLAGE LOOP S
SALEM, OR 973069490
5033911110
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
5125 SKYLINE RD S
SALEM, OR 973069427
8008132000
Source: CMS National Downloadable File, September 2026.