Medical school: INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Graduated: 2002
NPI: 1902894520
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1040 NW 22ND AVE, SUITE 168
PORTLAND, OR 972103036
5034137022
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1200 NW 23RD AVE
PORTLAND, OR 972102906
5034137074
Source: CMS National Downloadable File, September 2026.