Medical school: UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Graduated: 2003
Offers telehealth
NPI: 1710932421
Practice Locations (4)
LEGACY MERIDIAN PARK HOSPITAL
18010 SW MCEWAN RD
LAKE OSWEGO, OR 970357868
5035257500
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE
TUALATIN, OR 970627706
5034134330
Source: CMS National Downloadable File, September 2026.