MARCUS A. EAST, M.D.
PATRICK KWONG, O.D.
RYAN W. LAPOUR, M.D.
ADAM T. SHUPE, O.D.
Re:
DOB:
If you have further questions, feel free to contact me at our office.
Sincerely,
Marcus A. East, M.D.
Ryan W. Lapour, M.D.
Patrick Kwong, O.D.
Adam T. Shupe, O.D.
655 Medical Center Dr. NE
Salem, Oregon 97301
503.581.5287
Fax 503.386.1377
mceyeclinic.com
PRINT FORM
