Graduated: 2018
NPI: 1275003204
Practice Locations (4)
LEGACY CLINICS LLC
22262 NE GLISAN ST
GRESHAM, OR 970308553
5034892024
LEGACY CLINICS LLC
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
5036665050
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
3505 N WILLIAMS AVE
PORTLAND, OR 972271437
5033964950
Source: CMS National Downloadable File, September 2026.