Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1980
NPI: 1013922525
Practice Locations (2)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
300 N GRAHAM, 100 MATERNAL FETAL MED
PORTLAND, OR 972271667
5034131122
Source: CMS National Downloadable File, September 2026.