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Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-4449
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
NULL
204F00000X
Transplant Surgery Physician
—
—
261Q00000X
Clinic/Center
NA
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
282N00000X
General Acute Care Hospital
Primary
14-0027
OR
332B00000X
Durable Medical Equipment & Medical Supplies
14-0027
OR
Other
Enumeration date
07/27/2006
Last updated
01/20/2026
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