Medical school: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1983
NPI: 1285603050
Practice Locations (3)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034131122
LEGACY CLINICS LLC
300 N GRAHAM ST, SUITE 125
PORTLAND, OR 972271683
5034133714
Source: CMS National Downloadable File, September 2026.