Medical school: BAYLOR COLLEGE OF MEDICINE
Graduated: 2016
NPI: 1649790221
Practice Locations (2)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
2222 NW LOVEJOY ST
PORTLAND, OR 972105100
Source: CMS National Downloadable File, September 2026.