Medical school: CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
Offers telehealth
NPI: 1780752469
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
1332 S SHASTA AVE, SUITE A
EAGLE POINT, OR 975248623
5418268160
Source: CMS National Downloadable File, September 2026.