Medical school: ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated: 2000
NPI: 1699729632
Practice Locations (2)
BEND MEMORIAL CLINIC PC
1501 NE MEDICAL CTR DR
Bend, OR 977016051
BEND MEMORIAL CLINIC PC
1501 NE MEDICAL CTR DR
BEND, OR 977016051
5413822811
Source: CMS National Downloadable File, September 2026.