Medical school: UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Graduated: 1996
NPI: 1235108929
Practice Locations (2)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
450 N GRAHAM ST
PORTLAND, OR 972271682
5034134488
Source: CMS National Downloadable File, September 2026.