Medical school: COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
Graduated: 1999
NPI: 1720029556
Practice Locations (2)
SALEM CLINIC PC
2020 CAPITOL ST NE
SALEM, OR 973010644
5033992424
SALEM HEALTH
665 WINTER ST SE
SALEM, OR 973013934
5035615200
Source: CMS National Downloadable File, September 2026.