Graduated: 2012
NPI: 1013268200
Practice Locations (6)
LEGACY CLINICS LLC
22262 NE GLISAN ST
GRESHAM, OR 970308553
5034892024
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
3505 N WILLIAMS AVE
PORTLAND, OR 972271437
5033964950
LEGACY CLINICS LLC
4800 SW 76TH AVE
PORTLAND, OR 972251804
9718080665
LEGACY CLINICS LLC
305 SE CHKALOV DR, SUITE 170
VANCOUVER, WA 986835263
3607993912
LEGACY CLINICS LLC
3425 SE 192ND AVE, SUITE 106
VANCOUVER, WA 986831440
3602052960
Source: CMS National Downloadable File, September 2026.