Medical school: OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated: 1999
Also: PULMONARY DISEASE
Offers telehealth
NPI: 1821011693
Practice Locations (1)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.