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Doctors / OR
PHYSICIAN ASSISTANT
Graduated: 2021
NPI: 1831867761
LEGACY CLINICS LLC
24988 SE STARK ST
GRESHAM, OR 970308325
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
Source: CMS National Downloadable File, September 2026.