Graduated: 2015
NPI: 1285028563
Practice Locations (2)
LEGACY CLINICS LLC
19300 SW 65TH AVE, MERIDIAN PARK HOSP
PORTLAND, OR 970627706
5036921212
VIRGINIA MASON MEDICAL CENTER
1100 9TH AVE
SEATTLE, WA 981012756
2062236600
Source: CMS National Downloadable File, September 2026.