Organization
LEGACY MOUNT HOOD MEDICAL CENTER
Active
Organization
LEGACY MOUNT HOOD MEDICAL CENTER
Active
Other names
Legacy Mt. Hood Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S. VUKOVICH (SR. VP/CFO)
(503) 415-5370
Entity
Organization
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1233
(503) 674-1647
Mailing address
PO BOX 10768, PORTLAND, OR 97296-0768
(503) 674-1233
(503) 674-1647
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
14 1337
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240079
—
OR
Enumeration date
08/04/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up