Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1578524377
Practice Locations (2)
2550 NW EDENBOWER BLVD, SUITE 100
Roseburg, OR 974718829
2550 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974718829
5415805328
Source: CMS National Downloadable File, September 2026.