Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Parent organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210-3057
(503) 413-8122
Mailing address
1040 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210
(503) 413-4048
(503) 413-4449
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0001427-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3806051
NCPDP
OR
Enumeration date
07/20/2006
Last updated
01/20/2026
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