Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1609836071
Practice Locations (2)
SOUTHERN COOS HEALTH DISTRICT
900 11TH ST SE
BANDON, OR 974119114
5413472426
SALEM HEALTH
1600 STATE ST
SALEM, OR 973014257
5035615200
Source: CMS National Downloadable File, September 2026.