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General NPI Number Information
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NPI Number | 1003822487
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Entity Type | Organization
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Legal Business Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 1225 NE 2ND AVE
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City | PORTLAND
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State | OR
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Zip | 97232-2003
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Country | US
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Telephone | 503-944-8000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4037
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City | PORTLAND
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State | OR
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Zip | 97208-4037
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Country | US
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Telephone | 503-413-4048
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Fax | 503-413-4449
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Authorized Official
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Title or Position | VP FINANCE
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Name | SARAH JENSEN
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Credential |
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Telephone | 503-415-5145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273R00000X
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Taxonomy Name | Psychiatric Hospital Unit
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License Number | 14-0056
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License Number State | OR
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