Graduated: 1998
Also: PEDIATRIC MEDICINE
NPI: 1386819480
Practice Locations (5)
GROUP HEALTH PLAN INC
2500 COMO AVE
SAINT PAUL, MN 551081460
6516416200
LEGACY CLINICS LLC
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
5036665050
UPTOWN PROVIDERS PC
11675 SW PACIFIC HWY
TIGARD, OR 972238672
5033056262
UPTOWN PROVIDERS PC
180 NE 192ND AVE, SUITE 505
VANCOUVER, WA 986847525
5033056262
LEGACY CLINICS LLC
3425 SE 192ND AVE, SUITE 106
VANCOUVER, WA 986831440
3602052960
Source: CMS National Downloadable File, September 2026.