Graduated: 2004
NPI: 1255455929
Practice Locations (5)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
19300 SW 65TH AVE, MERIDIAN PARK HOSP
PORTLAND, OR 970627706
5036921212
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034131122
LEGACY CLINICS LLC
19250 SW 65TH AVE, SUITE 265
TUALATIN, OR 970627747
5034136862
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE
TUALATIN, OR 970627706
5034134330
Source: CMS National Downloadable File, September 2026.