Graduated: 2009
NPI: 1699090407
Practice Locations (4)
LEGACY CLINICS LLC
22262 NE GLISAN ST
GRESHAM, OR 970308553
5034892024
LEGACY CLINICS LLC
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
5036665050
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
Source: CMS National Downloadable File, September 2026.