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Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Parent organization
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY GOOD SAMARITAN HOSPITAL & MEDICAL
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
273Y00000X
Rehabilitation Hospital Unit
Primary
14-0027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0033387
—
ID
05
—
1022717
—
WA
05
—
135199
—
OR
Enumeration date
07/25/2006
Last updated
01/20/2026
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