Graduated: 2002
NPI: 1982605689
Practice Locations (3)
ASANTE THREE RIVERS MEDICAL CENTER LLC
500 SW RAMSEY AVE
GRANTS PASS, OR 975275554
5414727000
PROVIDENCE HEALTH AND SERVICES - OREGON
1111 CRATER LAKE AVE
MEDFORD, OR 975046241
5417325250
ASANTE
2825 E BARNETT RD
MEDFORD, OR 975048332
5417897000
Source: CMS National Downloadable File, September 2026.