Graduated: 2003
NPI: 1548445497
Practice Locations (3)
WILLAMETTE VALLEY CLINICS LLC
2700 SE STRATUS AVE
MCMINNVILLE, OR 971286255
5034356441
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
Source: CMS National Downloadable File, September 2026.