Graduated: 1989
Offers telehealth
NPI: 1851363709
Practice Locations (2)
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137582
LEGACY CLINICS LLC
501 N GRAHAM ST, SUITE 220
PORTLAND, OR 972272014
5034136200
Source: CMS National Downloadable File, September 2026.