Medical school: UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE
Graduated: 1999
NPI: 1629042122
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 610
PORTLAND, OR 972132985
5034674761
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.