Graduated: 1998
NPI: 1609949312
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
200 S HAZEL DELL WAY
CANBY, OR 970137829
2032639500
PROVIDENCE HEALTH AND SERVICES OREGON
10670 NE CORNELL RD
HILLSBORO, OR 971249221
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 972209437
5032159900
Source: CMS National Downloadable File, September 2026.