Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated: 1999
Offers telehealth
NPI: 1619180668
Practice Locations (1)
PRAXIS HEALTH PC
4999 SKYLINE RD S, SUITE 100
SALEM, OR 973060001
5033644005
Source: CMS National Downloadable File, September 2026.