Graduated: 2009
NPI: 1861629503
Practice Locations (3)
BAY AREA HOSPITAL DISTRICT
1775 THOMPSON RD
COOS BAY, OR 974202125
5412698280
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1000 3RD ST
TILLAMOOK, OR 971413430
5038152260
NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK
1100 3RD ST
TILLAMOOK, OR 971413402
5038152280
Source: CMS National Downloadable File, September 2026.