Medical school: OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated: 1996
NPI: 1720196553
Practice Locations (2)
2203 SW COURT PL
PENDLETON, OR 978011896
5412762905
1700 SE MEADOWBROOK BLVD
COLLEGE PLACE, WA 993241798
5095253700
Source: CMS National Downloadable File, September 2026.