Graduated: 2019
NPI: 1447812268
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
501 N GRAHAM ST, SUITE 445
PORTLAND, OR 972272002
5039446300
Source: CMS National Downloadable File, September 2026.