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General NPI Number Information
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NPI Number | 1700809829
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Entity Type | Organization
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Legal Business Name | LEGACY SALMON CREEK HOSPITAL
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 2211 NE 139TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686
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Country | US
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Telephone | 360-487-1000
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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 | 503-413-3212
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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 | 246YR1600X
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Taxonomy Name | Registered Record Administrator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | H208
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License Number State | WA
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