# LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

> 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780608216
- **Authorized official:** SARAH JENSEN (VP FINANCE)
- **Authorized official phone:** (503) 415-5145

## Contact information

- **Practice address:** 1015 NW 22ND AVE, PORTLAND, OR 97210-3025
- **Practice address phone:** (503) 413-7711
- **Mailing address:** PO BOX 4037, PORTLAND, OR 97208-4037
- **Mailing address phone:** (503) 413-4048
- **Mailing address fax:** (503) 413-4449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | 14-0027 | OR | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 14-0027 | OR | — |

## Other

- **Enumeration date:** 07/27/2006
- **Last updated:** 01/20/2026