Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1995
NPI: 1649218298
Practice Locations (1)
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1105 SE JETTY AVE C, ADVENTIST HEALTH BAYSHORE MEDICAL LINCOLN C
LINCOLN CITY, OR 973672604
5416140482
Source: CMS National Downloadable File, September 2026.