Graduated: 2015
NPI: 1417339359
Practice Locations (2)
EYE CARE GROUP OF SOUTHERN OREGON LLC
1022 NW 6TH ST
GRANTS PASS, OR 975261114
5414764545
LAKE OSWEGO VISION CLINIC LLC
15480 BOONES FERRY RD
LAKE OSWEGO, OR 970353429
5036351458
Source: CMS National Downloadable File, September 2026.