Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 1982
NPI: 1801818299
Practice Locations (2)
1400 SW 5TH AVE, FL 5
PORTLAND, OR 972015509
8699 NE CASCADIA LN
INDIANOLA, WA 983429785
Source: CMS National Downloadable File, September 2026.