| AMA Member: | Yes |
| Gender: | Male |
| National Provider Identifier (NPI): | 1184738130 |
| License Number: | 9562 |
| License State: | OR |
| Medical School: | Or Hlth Sci Univ Sch Of Med, Portland Or 97201 |
| Residency Training: | Regions Hosp, Flexible Or Transitional Year |
| Graduation Year: | 1972 |
| Certifications: | Family Practice; Occupational Medicine |