Graduated: 2009
NPI: 1518100734
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137711
LEGACY EMANUEL HOSPITAL AND HEALTH CENTER
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034134505
Source: CMS National Downloadable File, September 2026.