Graduated: 2021
NPI: 1720617657
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 210
NEWBERG, OR 971327523
5035375620
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 325
NEWBERG, OR 971327521
5032161661
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 240
PORTLAND, OR 972132981
5032156480
Source: CMS National Downloadable File, September 2026.