Medical school: SANFORD SCHOOL OF MEDICINE OF UNIVERSITY OF SOUTH DAKOTA
Graduated: 1983
NPI: 1760429781
Practice Locations (3)
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
19185 SW 90TH AVE
TUALATIN, OR 970627558
8008132000
THE WEST TEXAS REHABILITATION CENTER
4601 HARTFORD ST
ABILENE, TX 796054603
3257933411
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
14406 NE 20TH AVE
VANCOUVER, WA 986861448
8008132000
Source: CMS National Downloadable File, September 2026.