Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1740272285
Practice Locations (2)
SISKIYOU COMMUNITY HEALTH CENTER INC
25647 REDWOOD HWY
CAVE JUNCTION, OR 975239332
5415924111
SISKIYOU COMMUNITY HEALTH CENTER INC
1701 NW HAWTHORNE AVE
GRANTS PASS, OR 975261051
5414724777
Source: CMS National Downloadable File, September 2026.