Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2019
NPI: 1659834281
Practice Locations (3)
LEGACY CLINICS LLC
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137711
PROVIDENCE HEALTH AND SERVICES OREGON
1321 NE 99TH AVE, SUITE 200
PORTLAND, OR 972209439
5032154250
PROVIDENCE HEALTH AND SERVICES OREGON
9205 SW BARNES RD
PORTLAND, OR 972256603
Source: CMS National Downloadable File, September 2026.