Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2007
NPI: 1336322056
Practice Locations (1)
CONFEDERATED TRIBES OF THE GRAND RONDE COMMUNITY OF OREGON
9615 GRAND RONDE RD
GRAND RONDE, OR 973479712
5038792007
Source: CMS National Downloadable File, September 2026.