Medical school: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Graduated: 1983
NPI: 1851351191
Practice Locations (2)
COQUILLE VALLEY HEALTH
2699 N 17TH ST
COOS BAY, OR 974202134
5412663600
COQUILLE VALLEY HOSPITAL DISTRICT
940 E 5TH ST
COQUILLE, OR 974231666
5413963101
Source: CMS National Downloadable File, September 2026.