Graduated: 2015
NPI: 1831534668
Practice Locations (2)
MARY'S PEAK EMERGENCY PHYSICIANS
3600 NW SAMARITAN DR
CORVALLIS, OR 973303737
5417685021
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
Source: CMS National Downloadable File, September 2026.