Graduated: 2007
Offers telehealth
NPI: 1629240239
Practice Locations (2)
LEGACY CLINICS LLC
1040 NW 22ND AVE
PORTLAND, OR 972103062
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.