Medical school: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated: 1984
NPI: 1831113133
Practice Locations (3)
PROVIDENCE HEALTH AND SERVICES OREGON
1003 N PROVIDENCE DR, SUITE 325
NEWBERG, OR 971327521
5032161661
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES OREGON
725 S WAHANNA RD
SEASIDE, OR 971387735
5037177000
Source: CMS National Downloadable File, September 2026.