# LEGACY MERIDIAN PARK HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LEGACY MERIDIAN PARK HOSPITAL
- **Other names:** Legacy Meridian Park Hospital Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689694150
- **Legal business name:** LEGACY MERIDIAN PARK HOSPITAL
- **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) 692-2662
- **Mailing address:** PO BOX 4037, PORTLAND, OR 97208-4037
- **Mailing address phone:** (503) 413-4048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0000864-CS | OR | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3810567 | NCPDP | OR |