Organization
LEGACY SALMON CREEK HOSPITAL
Active
Parent organization
LEGACY SALMON CREEK HOSPITAL
Other names
Legacy Salmon Creek Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY SALMON CREEK HOSPITAL
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-2878
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
208000000X
Pediatrics Physician
—
—
208M00000X
Hospitalist Physician
—
—
261Q00000X
Clinic/Center
Primary
H208
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QP3300X
Pain Clinic/Center
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213591
—
OR
05
—
213599
—
OR
05
—
7129141
—
WA
01
—
858559000
REGENCE BLUE CROSS
—
Enumeration date
07/31/2006
Last updated
01/20/2026
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