Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 1996
NPI: 1669409868
Practice Locations (2)
4331 NE FREMONT ST
PORTLAND, OR 972131151
BEAUMONT VISION, PC
4331 NE FREMONT ST
PORTLAND, OR 972131151
5033313937
Source: CMS National Downloadable File, September 2026.