Medical school: UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Graduated: 1995
NPI: 1730161571
Practice Locations (1)
COW CREEK BAND OF UMPQUA TRIBE OF INDIANS
480 WARTAHOO LN, COW CREEK HLTH AND WELLNESS CTR
CANYONVILLE, OR 974179683
5418391345
Source: CMS National Downloadable File, September 2026.