Medical school: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1760572820
Practice Locations (2)
SOUTHERN COOS HEALTH DISTRICT
900 11TH ST SE
BANDON, OR 974119114
5413472426
ASANTE
2825 E BARNETT RD
MEDFORD, OR 975048332
5417897000
Source: CMS National Downloadable File, September 2026.