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General NPI Number Information
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NPI Number | 1790705275
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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 | 07/20/2006
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 2121 E 139TH ST STE 310
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City | VANCOUVER
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State | WA
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Zip | 98686-2742
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Country | US
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Telephone | 360-487-3700
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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 | 503-413-3958
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Fax |
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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 | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | CF00058293
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License Number State | WA
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