Graduated: 2016
NPI: 1205348539
Practice Locations (3)
LEGACY MOUNT HOOD MEDICAL CENTER
24800 SE STARK ST
GRESHAM, OR 970303378
5036619150
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137711
LEGACY MERIDIAN PARK HOSPITAL
19260 SW 65TH AVE, SUITE 165
TUALATIN, OR 970625706
5034136550
Source: CMS National Downloadable File, September 2026.