Graduated: 2005
Also: INTERNAL MEDICINE
NPI: 1902097850
Practice Locations (2)
PROVIDENCE HEALTH AND SERVICES OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325545
PROVIDENCE HEALTH AND SERVICES OREGON
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
5035375612
Source: CMS National Downloadable File, September 2026.