Medical school: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated: 2009
NPI: 1659507523
Practice Locations (1)
LEGACY CLINICS LLC
300 N GRAHAM ST, SUITE 125
PORTLAND, OR 972271683
5034133714
Source: CMS National Downloadable File, September 2026.