Medical school: CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated: 2003
NPI: 1932112463
Practice Locations (5)
LEGACY CLINICS LLC
1015 NW 22ND AVE
PORTLAND, OR 972103025
5034137711
LEGACY CLINICS LLC
1015 NW22ND AVE, SUITE 34
PORTLAND, OR 972103025
5034136376
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
Source: CMS National Downloadable File, September 2026.