Graduated: 2011
NPI: 1932475860
Practice Locations (6)
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
1040 NW 22ND AVE
PORTLAND, OR 972103062
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 CLINICS LLC
501 N GRAHAM ST, SUITE 445
PORTLAND, OR 972272002
5039446300
Source: CMS National Downloadable File, September 2026.