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Vial Confidence Comparison
VIAL

Cascades Hormone Optimization vs Legacy Health

Same category. Different operational transparency.

Cascades Hormone Optimization
Clinic / Medical Practice
60/ 100
Vial Score
View full report →
Legacy Health
Clinic / Medical Practice
84/ 100
Vial Score
View full report →
SignalCascades Hormone OptimizationLegacy Health
Pharmacy Disclosure
Do they name their pharmacy partner?
✕No pharmacy partner named
✕No pharmacy partner named
Physician Oversight
Are prescribing clinicians named?
✕No clinician disclosure
✕No clinician disclosure
Pricing Transparency
Is pricing shown before signup?
✕Pricing not disclosed
✕Pricing not disclosed
Federal Enforcement History
Any FDA, DEA, or OIG actions?
✓No federal actions found
✓No federal actions found
State Availability
How widely is care available?
•2 states
•1 states
Membership Model
Is a paid membership required?
✓No membership required
✓No membership required
Data & Privacy
Any reported HIPAA breaches?
✓No breaches on record
✓No breaches on record
Lower Vial Score
Cascades Hormone Optimization
Gaps in pharmacy disclosure, physician oversight, and pricing.
Higher Vial Score
Legacy Health
Higher Vial Score on the broader public record Vial tracks.
Updated July 15, 2026
Scores based on operational, compliance, and transparency signals tracked by Vial.
getvial.com
Go to Legacy Health →

Biggest Differences

  1. Vial Score gap (24 points)
    Legacy Health scores 84/100 to Cascades Hormone Optimization (formally Male TRT Center)'s 60/100, a 24-point spread driven by the differences below.
  2. NPI registration
    Legacy Health has a registered organizational NPI on file with CMS, which lets you confirm legal entity status independently; Cascades Hormone Optimization (formally Male TRT Center) does not.
Vial Analysis

Our Assessment

What separates the two on the public record.

  • Vial Score
    Cascades Hormone Optimization (formally Male TRT Center) scores 60, Legacy Health scores 84.

Comparison reflects publicly disclosed federal and state records only. Vial does not audit clinical quality or patient outcomes.

Provider A

Cascades Hormone Optimization (formally Male TRT Center)

DeliveryHybrid
HQOmak, WA
Services: TRT, HRT, Metabolic Health +5
Provider B

Legacy Health

DeliveryIn-Person Only
HQBurnsville, MN
Services: TRT, HRT, Peptides +4

Comparison based on public federal and state records including NPI Registry, FDA enforcement database, and PCAB accreditation directory. Updated weekly. Not a medical endorsement.

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This page evaluates compliance signals, not clinical outcomes. Consult a licensed physician before starting any therapy, medication, or treatment. Vial does not provide medical advice.