Organization
LEGACY MERIDIAN PARK HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-1212
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-3212
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
14-1336
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122499
—
OR
Enumeration date
07/25/2006
Last updated
01/20/2026
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