Graduated: 2015
NPI: 1306210760
Practice Locations (2)
LEGACY CLINICS LLC
2870 SW CEDAR HILLS BLVD
BEAVERTON, OR 970051354
5036469222
LEGACY CLINICS LLC
3425 SE 192ND AVE, SUITE 106
VANCOUVER, WA 986831440
3602052960
Source: CMS National Downloadable File, September 2026.