Graduated: 2015
NPI: 1700340270
Practice Locations (2)
1450 BIRCH AVE, RM EE
COTTAGE GROVE, OR 974241417
5412065071
PEACEHEALTH MEDICAL GROUP COTTAGE GROVE
1515 VILLAGE DR
COTTAGE GROVE, OR 974249700
5417675200
Source: CMS National Downloadable File, September 2026.