Medical school: JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated: 1996
NPI: 1649252008
Practice Locations (2)
CENTENNIAL MEDICAL GROUP INC
2700 NW STEWART PKWY
ROSEBURG, OR 974711281
5416772452
CENTENNIAL MEDICAL GROUP INC
2801 NW MERCY DR
ROSEBURG, OR 974712348
Source: CMS National Downloadable File, September 2026.