Graduated: 2000
NPI: 1679681035
Practice Locations (4)
LEGACY CLINICS LLC
3 MONROE PKWY, SUITE X
LAKE OSWEGO, OR 970358875
5036793748
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
4800 SW 76TH AVE
PORTLAND, OR 972251804
9718080665
LEGACY CLINICS LLC
21430 SW LANGER FARMS PKWY, SUITE 158
SHERWOOD, OR 971409141
9718080655
Source: CMS National Downloadable File, September 2026.