Graduated: 2024
NPI: 1255151544
Practice Locations (2)
LEGACY CLINICS LLC
25050 SE STARK ST, SUITE 265
GRESHAM, OR 970303388
5036742044
UNIVERSITY ANESTHESIOLOGY ASSOCIATES LLC
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034947641
Source: CMS National Downloadable File, September 2026.