Graduated: 2010
NPI: 1548555451
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
PORTLAND, OR 972272000
Source: CMS National Downloadable File, September 2026.