Medical school: BOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1987
NPI: 1922186402
Practice Locations (3)
PROVIDENCE MEDICAL FOUNDATION
2773 HARRIS ST, SUITE A
EUREKA, CA 955034866
7072672070
KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST
10100 SE SUNNYSIDE RD
CLACKAMAS, OR 970158970
8008132000
CENTRAL WASHINGTON HEALTH SERVICES ASSOCIATION
840 E HILL AVE
MOSES LAKE, WA 988372238
5096638711
Source: CMS National Downloadable File, September 2026.