Graduated: 2016
NPI: 1932560067
Practice Locations (2)
PREMIER ANESTHESIA OF OREGON PC
1500 DIVISION ST
OREGON CITY, OR 970451527
5036561631
SANTIAM MEMORIAL HOSPITAL
1401 N 10TH AVE
STAYTON, OR 973831311
5037692175
Source: CMS National Downloadable File, September 2026.