Medical school: NEW YORK MEDICAL COLLEGE
Graduated: 2003
NPI: 1740280072
Practice Locations (2)
1010 SW COAST HWY, SUITE 102
NEWPORT, OR 973655239
5412654253
324 SW 7TH ST, SUITE B
NEWPORT, OR 973654900
5412654253
Source: CMS National Downloadable File, September 2026.