Graduated: 2005
NPI: 1730454265
Practice Locations (3)
COLUMBIA LUTHERAN CHARITIES
2111 EXCHANGE ST
ASTORIA, OR 971033329
5033254321
WILLAMETTE VALLEY CLINICS LLC
2700 SE STRATUS AVE
MCMINNVILLE, OR 971286255
5034356441
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034132200
Source: CMS National Downloadable File, September 2026.