Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 1996
Offers telehealth
NPI: 1619031838
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1000 N PROVIDENCE DR, SUITE 310
NEWBERG, OR 971327582
5035376040
PROVIDENCE HEALTH AND SERVICES - OREGON
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
5035371555
Source: CMS National Downloadable File, September 2026.