Medical school: UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Graduated: 2013
Offers telehealth
NPI: 1245679984
Practice Locations (3)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 110
PORTLAND, OR 972102934
5034138654
PROVIDENCE HEALTH AND SERVICES OREGON
4805 NE GLISAN ST, SUITE 11N
PORTLAND, OR 972132933
5032156014
LEGACY SALMON CREEK HOSPITAL
2121 NE 139TH ST, SUITE 120
VANCOUVER, WA 986862316
3604871717
Source: CMS National Downloadable File, September 2026.