Graduated: 2007
NPI: 1952509200
Practice Locations (4)
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
1225 NE 2ND AVE
PORTLAND, OR 972322003
5039448000
Source: CMS National Downloadable File, September 2026.