Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1997
NPI: 1932276961
Practice Locations (8)
PROVIDENCE HEALTH AND SERVICES OREGON
200 S HAZEL DELL WAY
CANBY, OR 970137829
2032639500
PROVIDENCE HEALTH AND SERVICES OREGON
9290 SE SUNNYBROOK BLVD, SUITE 120
CLACKAMAS, OR 970156802
5032152110
PROVIDENCE HEALTH AND SERVICES OREGON
10670 NE CORNELL RD
HILLSBORO, OR 971249221
PROVIDENCE HEALTH AND SERVICES OREGON
7305 SE CIRCUIT DR, SUITE 140
HILLSBORO, OR 971231961
9715014905
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 100
PORTLAND, OR 972209437
5032159900
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
16770 SW EDY RD, SUITE 102
SHERWOOD, OR 971409679
5032169600
PROVIDENCE HEALTH AND SERVICES OREGON
12442 SW SCHOLLS FERRY RD, SUITE 100
TIGARD, OR 972230803
5032159900
Source: CMS National Downloadable File, September 2026.