Medical school: UNIVERSITY OF CALIFORNIA, IRVINE, CALIFORNIA COLLEGE OF MEDICINE
Graduated: 2006
NPI: 1114199528
Practice Locations (6)
LEGACY CLINICS LLC
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137711
LEGACY CLINICS LLC
1015 NW22ND AVE, SUITE 34
PORTLAND, OR 972103025
5034136376
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
19300 SW 65TH AVE, MERIDIAN PARK HOSP
PORTLAND, OR 970627706
5036921212
LEGACY CLINICS LLC
19875 SW 65TH AVE
TUALATIN, OR 970628353
LEGACY SALMON CREEK HOSPITAL
2101 NE 139TH ST, SUITE 250
VANCOUVER, WA 986862309
3604871717
Source: CMS National Downloadable File, September 2026.