Medical school: PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1997
NPI: 1659378677
Practice Locations (2)
450 SISKIYOU BLVD, SUITE 2
Ashland, OR 975205107
450 SISKIYOU BLVD, SUITE 2
ASHLAND, OR 975205107
5414823873
Source: CMS National Downloadable File, September 2026.