Graduated: 2009
NPI: 1326376484
Practice Locations (4)
LEGACY CLINICS LLC
24800 SE STARK ST
GRESHAM, OR 970303378
5034138988
LEGACY CLINICS LLC
25050 SE STARK ST
GRESHAM, OR 970303383
5036741848
LEGACY CLINICS LLC
25050 SE STARK ST, SUITE 265
GRESHAM, OR 970303383
5036741520
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.