Graduated: 1980
Offers telehealth
NPI: 1912923848
Practice Locations (3)
1957 THOMPSON RD
COOS BAY, OR 974202040
1957 THOMPSON RD, SUITE K
COOS BAY, OR 974202040
5412668575
STE K, 1957 THOMPSON RD
COOS BAY, OR 974202040
Source: CMS National Downloadable File, September 2026.