Medical school: ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated: 2013
NPI: 1164866885
Practice Locations (2)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
36860 INDUSTRIAL WAY
SANDY, OR 970557371
5036684117
Source: CMS National Downloadable File, September 2026.