Graduated: 2023
NPI: 1942080346
Practice Locations (4)
LEGACY CLINICS LLC
2850 SE POWELL VALLEY RD
GRESHAM, OR 970801494
5036665050
LEGACY SALMON CREEK HOSPITAL
2101 NE 139TH ST, SUITE 460
VANCOUVER, WA 986862325
3604872727
LEGACY SALMON CREEK HOSPITAL
2211 NE 139TH ST
VANCOUVER, WA 986862742
3604871000
LEGACY CLINICS LLC
305 SE CHKALOV DR, SUITE 170
VANCOUVER, WA 986835263
3607993912
Source: CMS National Downloadable File, September 2026.