Medical school: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2001
NPI: 1609862846
Practice Locations (2)
2460 WILLAMETTE ST
EUGENE, OR 974053169
EUGENE EYE CLINIC LLC
2460 WILLAMETTE ST
EUGENE, OR 974053169
5416833744
Source: CMS National Downloadable File, September 2026.