Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1700923406
Practice Locations (2)
SANTIAM MEMORIAL HOSPITAL
1401 N 10TH AVE
Stayton, OR 973831311
SANTIAM MEMORIAL HOSPITAL
1401 N 10TH AVE
STAYTON, OR 973831311
5037692175
Source: CMS National Downloadable File, September 2026.