Medical school: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated: 1998
NPI: 1912946567
Practice Locations (5)
PROVIDENCE MEDICAL FOUNDATION
2675 HARRIS ST
EUREKA, CA 955034806
7072690644
PROVIDENCE MEDICAL FOUNDATION
2700 DOLBEER ST
EUREKA, CA 955014736
7074458121
PROVIDENCE MEDICAL FOUNDATION
2710 DOLBEER ST
EUREKA, CA 955014736
7072672060
PROVIDENCE MEDICAL FOUNDATION
1165 MONTGOMERY DR
SANTA ROSA, CA 954054801
7075463210
PROVIDENCE MEDICAL FOUNDATION
500 DOYLE PARK DR
SANTA ROSA, CA 954054559
Source: CMS National Downloadable File, September 2026.