Medical school: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduated: 1982
NPI: 1699796201
Practice Locations (2)
LEGACY CLINICS LLC
2870 SW CEDAR HILLS BLVD
BEAVERTON, OR 970051354
5036469222
LEGACY CLINICS LLC
305 SE CHKALOV DR, SUITE 170
VANCOUVER, WA 986835263
3607993912
Source: CMS National Downloadable File, September 2026.