Graduated: 2003
NPI: 1851439657
Practice Locations (4)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
2801 N GANTENBEIN AVE
PORTLAND, OR 972271623
5034131122
LEGACY SALMON CREEK HOSPITAL
2101 NE 139TH ST, SUITE 260
VANCOUVER, WA 986862311
3604872870
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
Source: CMS National Downloadable File, September 2026.