Graduated: 2006
NPI: 1700939683
Practice Locations (3)
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
Enterprise, OR 978285124
WALLOWA COUNTY HEALTH CARE DISTRICT
601 MEDICAL PKWY
ENTERPRISE, OR 978285124
5414265460
1902 4TH ST, SUITE 3
LA GRANDE, OR 978502558
5416630007
Source: CMS National Downloadable File, September 2026.