Graduated: 1986
NPI: 1619990702
Practice Locations (6)
PROVIDENCE HEALTH AND SERVICES - OREGON
200 S HAZEL DELL WAY, SUITE 210
CANBY, OR 970137828
5032639550
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035138300
PROVIDENCE HEALTH AND SERVICES - OREGON
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
5035371555
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
5032162213
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD, SUITE 20
PORTLAND, OR 972256603
5032162229
Source: CMS National Downloadable File, September 2026.