Sodasavanh Khamsoukthavong

CERTIFIED CLINICAL NURSE SPECIALIST (CNS)

501 N Graham St

200 Legacy Medical Group C

Portland, OR 972272000

(503) 413-4710

**NPI:** 1508212283

**Med School:** OTHER

**Experience:** 21 years

**Telehealth:** Yes

**Medicare Assignment:** Yes

Practice Locations (2)

LEGACY CLINICS LLC

501 N Graham St, 200 Legacy Medical Group C
Portland, OR 972272000

Phone: (503) 413-4710

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

LEGACY SALMON CREEK HOSPITAL

2121 Ne 139th St, Suite 360
Vancouver, WA 986862316

Phone: (503) 413-7162

**Group ID:** 0446295711 | **Group Size:** 253 members

LEGACY GOOD SAMARITAN MEDICAL CENTER Type: Hospital
1015 NW 22ND AVENUE, W121
Phone: (503) 413-7682
Medicare CCN: 380017 View Profile

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

MIPS performance data is not available or not publicly reported.

Procedure volume data is not available for public display.