Graduated: 2013
NPI: 1609293174
Practice Locations (5)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034131122
SALEM HEALTH
665 WINTER ST SE
SALEM, OR 973013934
5035615200
SALEM HEALTH
890 OAK ST SE
SALEM, OR 973013905
5035615200
SALEM HEALTH
890 OAK ST SE, SUITE 4000
SALEM, OR 973013905
5038144048
Source: CMS National Downloadable File, September 2026.