Medical school: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated: 1996
NPI: 1790748028
Practice Locations (6)
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
Roseburg, OR 974716214
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD
ROSEBURG, OR 974716214
5416777200
CENTENNIAL MEDICAL GROUP EAST LLC
2570 NW EDENBOWER BLVD
ROSEBURG, OR 974716214
5416777200
EVERGREEN FAMILY MEDICINE PC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
CENTENNIAL MEDICAL GROUP EAST LLC
2570 NW EDENBOWER BLVD, SUITE 100
ROSEBURG, OR 974716214
5416777200
CENTENNIAL MEDICAL GROUP EAST LLC
249 DAKOTA ST
SUTHERLIN, OR 974799908
5416777200
Source: CMS National Downloadable File, September 2026.