Graduated: 1999
NPI: 1154307478
Practice Locations (4)
LEGACY CLINICS LLC
25050 SE STARK ST, SUITE 265
GRESHAM, OR 970303383
5036741520
TUALITY MEDICAL GROUP LLC
335 SE 8TH AVE
HILLSBORO, OR 971234246
5036811111
PROVIDENCE HEALTH AND SERVICES OREGON
10150 SE 32ND AVE
MILWAUKIE, OR 972226516
5035138300
PROVIDENCE HEALTH AND SERVICES OREGON
1510 DIVISION ST, SUITE 210
OREGON CITY, OR 970451599
5037236525
Source: CMS National Downloadable File, September 2026.