Organization
LEGACY MOUNT HOOD 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
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1122
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-3212
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
141337
OR
282N00000X
General Acute Care Hospital
Primary
14-1337
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069526
—
OR
Enumeration date
07/25/2006
Last updated
02/06/2025
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