Graduated: 2008
NPI: 1053548669
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 SALMON CREEK HOSPITAL
1000 SE TECH CTR DR, SUITE 120
VANCOUVER, WA 986835548
3602602773
LEGACY CLINICS LLC
13009 NE HWY 99, SUITE 109
VANCOUVER, WA 986862307
3606675840
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
LEGACY CLINICS LLC
305 SE CHKALOV DR, SUITE 170
VANCOUVER, WA 986835263
3607993912
Source: CMS National Downloadable File, September 2026.