Nicole Sazonov, PA

PHYSICIAN ASSISTANT

1130 Nw 22nd Ave

Suite 220

Portland, OR 972102969

(503) 413-8988

**NPI:** 1386364768

**Med School:** OTHER

**Experience:** 2 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (2)

LEGACY CLINICS LLC

1130 Nw 22nd Ave, Suite 220
Portland, OR 972102969

Phone: (503) 413-8988

**Group ID:** 0244144004 | **Group Size:** 635 members

LEGACY CLINICS LLC

8329 Sw Beaverton Hillsdale Hwy
Portland, OR 972252215

Phone: (503) 414-5160

**Group ID:** 0244144004 | **Group Size:** 635 members

LEGACY EMANUEL MEDICAL CENTER Type: Hospital
2801 N GANTENBEIN AVENUE
Phone: (503) 413-2200
Medicare CCN: 380007 View Profile

LEGACY MERIDIAN PARK MEDICAL CENTER Type: Hospital
19300 SW 65TH AVENUE
Phone: (503) 692-1212
Medicare CCN: 380089 View Profile

Home health agency Type: Home health agency
Medicare CCN: 387003 View Profile

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.

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