Medical school: HARVARD MEDICAL SCHOOL
Graduated: 2010
Offers telehealth
NPI: 1154637015
Practice Locations (2)
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034131122
PROVIDENCE HEALTH AND SERVICES OREGON
5050 NE HOYT ST, SUITE 540
PORTLAND, OR 972132985
5032156600
Source: CMS National Downloadable File, September 2026.