Medical school: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated: 2018
NPI: 1104318419
Practice Locations (2)
LEGACY CLINICS LLC
25050 SE STARK ST
GRESHAM, OR 970303383
5036741848
UNIVERSITY PROFESSIONAL SERVICES
3303 S BOND AVE
PORTLAND, OR 972394501
5034948311
Source: CMS National Downloadable File, September 2026.