Medical school: OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Graduated: 2013
NPI: 1982021531
Practice Locations (2)
LEGACY CLINICS LLC
1130 NW 22ND AVE, SUITE 220
PORTLAND, OR 972102969
5034138988
LEGACY CLINICS LLC
36860 INDUSTRIAL WAY
SANDY, OR 970557371
5036684117
Source: CMS National Downloadable File, September 2026.