Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1977
NPI: 1689647844
Practice Locations (5)
CENTENNIAL MEDICAL GROUP EAST LLC
145 NE BROADWAY ST
MYRTLE CREEK, OR 974579039
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
Roseburg, OR 974716214
CENTENNIAL MEDICAL GROUP EAST LLC
1937 W HARVARD AVE
ROSEBURG, OR 974712720
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
CENTENNIAL MEDICAL GROUP EAST LLC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
Source: CMS National Downloadable File, September 2026.