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Organization
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Active
Organization
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Active
Other names
Legacy Pharmacy at Holladay Park
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI BERG (SR PBS ANALYST)
(503) 413-3958
Entity
Organization
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 413-2200
Mailing address
1225 NE 2ND AVE STE L100, PORTLAND, OR 97232-2003
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
NULL
3336S0011X
Specialty Pharmacy
—
NULL
Other
Enumeration date
09/24/2026
Last updated
10/15/2026
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