Graduated: 1984
NPI: 1700893088
Practice Locations (4)
ALBANY GENERAL HOSPITAL
1700 GEARY ST SE
ALBANY, OR 973226842
ALBANY GENERAL HOSPITAL
705 ELM ST SW, SUITE 200
ALBANY, OR 973211957
5418124850
ICCO LLC
3737 SHASTA WAY, SUITE A
KLAMATH FALLS, OR 976034982
5416407625
ICCO LLC
1755 SW BAKER ST
MCMINNVILLE, OR 971289112
9719004522
Source: CMS National Downloadable File, September 2026.