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Organization

LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

Active
Parent organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Authorized official
SARAH JENSEN (INTERIM CFO)
(503) 415-5145
Entity
Organization

Contact information

Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-4848
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-4449

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
14-0027
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
077404
OR
05
2010683
WA
Enumeration date
07/25/2006
Last updated
01/20/2026
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