Medical school: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated: 1994
NPI: 1962476580
Practice Locations (2)
815 NW 9TH ST, SUITE 110
CORVALLIS, OR 973306186
815 NW 9TH ST, SUITE 215
CORVALLIS, OR 973306173
Source: CMS National Downloadable File, September 2026.