Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 2000
NPI: 1831127018
Practice Locations (2)
PEACEHEALTH MEDICAL GROUP COTTAGE GROVE
180 MELTON RD
CRESWELL, OR 974269453
5412227700
LANE COUNTY OREGON
2073 OLYMPIC ST
SPRINGFIELD, OR 974773413
5416823550
Source: CMS National Downloadable File, September 2026.