Medical school: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduated: 1997
NPI: 1881794352
Practice Locations (2)
GOOD SHEPHERD HEALTH CARE SYSTEM
610 NW 11TH ST
HERMISTON, OR 978386601
5416673400
CENTENNIAL MEDICAL GROUP INC
2700 NW STEWART PKWY
ROSEBURG, OR 974711281
5416772452
Source: CMS National Downloadable File, September 2026.