Graduated: 2016
NPI: 1992153365
Practice Locations (2)
LEGACY CLINICS LLC
2800 N VANCOUVER AVE
PORTLAND, OR 972271630
5034134992
WOMENS HEALTHCARE ASSOCIATES LLC
9701 SW BARNES RD, SUITE 200
PORTLAND, OR 972256689
5037343700
Source: CMS National Downloadable File, September 2026.