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Doctors / OR
EMERGENCY MEDICINE
Graduated: 2006
NPI: 1114139029
LEGACY CLINICS LLC
22262 NE GLISAN ST
GRESHAM, OR 970308553
5034892024
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.