Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Parent organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Other names
Legacy Good Samaritan Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(503) 413-7074
Mailing address
PO BOX 3808, PORTLAND, OR 97208-3808
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002868000
REGENCE BLUE CROSS
OR
01
—
007002000
REGENCE BLUE CROSS
OR
05
—
1016129
—
WA
05
—
135199
—
OR
05
—
226827
—
OR
01
—
CK6664
MEDICARE RAILROAD
OR
Enumeration date
07/27/2006
Last updated
01/20/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us