Graduated: 1999
NPI: 1629002639
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 210
NEWBERG, OR 971327523
5035375620
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 325
NEWBERG, OR 971327521
5032161661
Source: CMS National Downloadable File, September 2026.