Graduated: 2020
NPI: 1790392264
Practice Locations (5)
2767 OLIVE HWY
OROVILLE, CA 95966
PO BOX, SUITE 5040
OROVILLE, CA 95966
600 NW 11TH ST, SUITE E37
HERMISTON, OR 978388604
620 NW 11TH ST, SUITE M202
HERMISTON, OR 978386941
12319 N MOPAC EXPY, SUITE 200
AUSTIN, TX 787582497
Source: CMS National Downloadable File, September 2026.