Graduated: 2023
NPI: 1942045380
Practice Locations (2)
UNIVERSITY PROFESSIONAL SERVICES
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
5034948311
LEGACY CLINICS LLC
501 N GRAHAM ST, SUITE 200
PORTLAND, OR 972272000
5034134488
Source: CMS National Downloadable File, September 2026.