Organization
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-7711
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-4048
(503) 413-4449
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
—
—
261Q00000X
Clinic/Center
NA
—
261QU0200X
Urgent Care Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
14-0027
OR
332B00000X
Durable Medical Equipment & Medical Supplies
14-0027
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
077404
—
OR
05
—
079009
—
OR
05
—
1018731
—
WA
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