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Organization

LEGACY MERIDIAN PARK HOSPITAL

Active
Parent organization
LEGACY MERIDIAN PARK HOSPITAL
Other names
Legacy Meridian Park Hospital Pharmacy
Organization subpart
Yes

Provider details

NPI number
Legal business name
LEGACY MERIDIAN PARK HOSPITAL
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization

Contact information

Practice address
19300 SW 65TH AVE, TUALATIN, OR 97062-7706
(503) 692-2662
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048

Taxonomy

Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000864-CS
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3810567
NCPDP
OR
Enumeration date
07/20/2006
Last updated
01/20/2026
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