Graduated: 2017
NPI: 1700272689
Practice Locations (2)
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034132200
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
Source: CMS National Downloadable File, September 2026.