Medical school: SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
Graduated: 1984
NPI: 1306878897
Practice Locations (1)
CHEMAWA INDIAN HEALTH CENTER DHHS IHS WESTERN OREGON SERV UNIT
3750 CHEMAWA RD NE
SALEM, OR 973051119
5033047600
Source: CMS National Downloadable File, September 2026.