Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1991
Also: HOSPICE/PALLIATIVE CARE
NPI: 1831252782
Practice Locations (1)
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD, FL 1
PORTLAND, OR 972256603
5032162906
Source: CMS National Downloadable File, September 2026.