Organization
LEGACY MERIDIAN PARK PEDIATRIC REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN SLP (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
19250 SW 65TH AVE STE 125, TUALATIN, OR 97062-7745
(503) 413-4505
Mailing address
PO BOX 6689, PORTLAND, OR 97228-6689
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
283XC2000X
Children's Rehabilitation Hospital
Primary
930618915
OR
Other
Enumeration date
10/30/2009
Last updated
01/20/2026
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