Graduated: 1980
Offers telehealth
NPI: 1972984565
Practice Locations (2)
LEGACY MERIDIAN PARK HOSPITAL
19300 SW 65TH AVE
TUALATIN, OR 970627706
5034134330
LEGACY MERIDIAN PARK HOSPITAL
19875 SW 65TH AVE
TUALATIN, OR 970628353
5036927785
Source: CMS National Downloadable File, September 2026.