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NPI Code Detail

MEDICARE: LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

MEDICARE: LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies14-0027OR
2204F00000XTransplant Surgery Physician
3261QU0200XUrgent Care Clinic/Center
4261Q00000XClinic/CenterNA
5282N00000XGeneral Acute Care Hospital14-0027OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780608216
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 4037
Second Line :
City : PORTLAND
State : OR
Zip : 97208-4037
Country : US
Telephone Number : 503-413-4048
Fax Number : 503-413-4449
Provider Business Practice Location Address
First Line : 1015 NW 22ND AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97210-3025
Country : US
Telephone Number : 503-413-7711
Fax Number :
Authorized Official
Title or Position : VP FINANCE
Name : SARAH JENSEN
Credential :
Telephone Number : 503-415-5145
Provider Enumeration Date : 07/27/2006
Last Update Date : 01/20/2026

Similar Medicare Providers

1558894857 — JENNA MARIE WILEY MD
Practice Location Address:
1015 NW 22ND AVE
PORTLAND, OR
97210-3025
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Practice Fax:
1336162874 — LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Practice Location Address:
1015 NW 22ND AVE
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97210-3025
Practice Phone: 503-413-4848
Practice Fax:
1942223482 — LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Practice Location Address:
1015 NW 22ND AVE
PORTLAND, OR
97210-3025
Practice Phone: 503-413-7711
Practice Fax:
1417814179 — JESSIE FOSTER
Practice Location Address:
1015 NW 22ND AVE
PORTLAND, OR
97210-3025
Practice Phone: 503-413-7711
Practice Fax:
1487362489 — LARYSSA SOPHIA LITEPLO FNP
Practice Location Address:
1015 NW 22ND AVE
PORTLAND, OR
97210-3025
Practice Phone: 503-413-7260
Practice Fax:
1467449629 — DR. CHEN-WEN CHRIS HEH M.D.
Practice Location Address:
1015 NW 22ND AVE
PORTLAND, OR
97210-3025
Practice Phone: 503-413-8938
Practice Fax: 503-413-6380

Directions to “LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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