Medical school: MEDICAL COLLEGE OF WISCONSIN
Graduated: 1988
NPI: 1942429345
Practice Locations (4)
PROVIDENCE HEALTH AND SERVICES - OREGON
1001 N PROVIDENCE DR
NEWBERG, OR 971327485
5035371555
PROVIDENCE HEALTH AND SERVICES - OREGON
4805 NE GLISAN ST
PORTLAND, OR 972132933
5032151111
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
5032162213
PROVIDENCE HEALTH AND SERVICES - OREGON
9205 SW BARNES RD, SUITE 20
PORTLAND, OR 972256603
5032162229
Source: CMS National Downloadable File, September 2026.