Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 2024
NPI: 1598656365
Practice Locations (2)
PROFESSIONAL PROVIDER ENTERPRISE LLC
8643 NE BEECH ST
PORTLAND, OR 972205012
5032562151
PROFESSIONAL PROVIDER ENTERPRISE LLC
135 S 336TH ST
FEDERAL WAY, WA 980036350
2538357433
Source: CMS National Downloadable File, September 2026.