Medical school: CASE WESTERN UNIVERSITY SCHOOL OF DENTAL MEDICINE
Graduated: 2015
Offers telehealth
NPI: 1134513625
Practice Locations (1)
LEGACY CLINICS LLC
2800 N VANCOUVER AVE, STES 130 230
PORTLAND, OR 972271630
5034137162
Source: CMS National Downloadable File, September 2026.