Medical school: PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 2024
NPI: 1649016668
Practice Locations (2)
ADAPT
548 SE JACKSON ST
ROSEBURG, OR 974704983
5416722691
ADAPT
671 SW MAIN ST
WINSTON, OR 974966571
5414924550
Source: CMS National Downloadable File, September 2026.