# LEGACY MERIDIAN PARK HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184647620
- **Authorized official:** SARAH JENSEN (VP FINANCE)
- **Authorized official phone:** (503) 415-5145

## Contact information

- **Practice address:** 19300 SW 65TH AVE, TUALATIN, OR 97062-7706
- **Practice address phone:** (503) 692-1212
- **Mailing address:** PO BOX 4037, PORTLAND, OR 97208-4037
- **Mailing address phone:** (503) 413-4048
- **Mailing address fax:** (503) 413-3212

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 282N00000X | General Acute Care Hospital | 14-1336 | OR | Yes |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 01/20/2026