Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1994
NPI: 1316940281
Practice Locations (2)
90 MARKET ST, SUITE 20
LEBANON, OR 973552396
LIFETIME VISION SOURCE OF LEBANON LLC
90 MARKET ST, SUITE 20
LEBANON, OR 973552396
5414511144
Source: CMS National Downloadable File, September 2026.