Graduated: 2018
NPI: 1083176077
Practice Locations (9)
PROVIDENCE MEDICAL FOUNDATION
5630 E SANTA ANA CANYON RD
ANAHEIM, CA 928073122
7146022400
PROVIDENCE MEDICAL FOUNDATION
1950 SUNNY CREST DR, SUITE 2900
FULLERTON, CA 928353641
7149925350
PROVIDENCE MEDICAL FOUNDATION
100 E VALENCIA MESA DR, SUITE 105
FULLERTON, CA 928353816
7148713006
PROVIDENCE MEDICAL FOUNDATION
2501 E CHAPMAN AVE
ORANGE, CA 928693204
7146337175
PROVIDENCE MEDICAL FOUNDATION
363 S MAIN ST, SUITE 110
ORANGE, CA 928683813
7148553602
LEGACY CLINICS LLC
2870 SW CEDAR HILLS BLVD
BEAVERTON, OR 970051354
5036469222
LEGACY CLINICS LLC
22262 NE GLISAN ST
GRESHAM, OR 970308553
5034892024
LEGACY CLINICS LLC
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
5036665050
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.