Graduated: 2011
NPI: 1932480365
Practice Locations (3)
COUNTY OF LINCOLN
36 SW NYE ST
Newport, OR 973653821
COUNTY OF LINCOLN
36 SW NYE ST
NEWPORT, OR 973653821
5412654947
COUNTY OF LINCOLN
36 SWNYE ST
NEWPORT, OR 973653821
Source: CMS National Downloadable File, September 2026.