Organization
LEGACY SALMON CREEK IM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH JENSEN (VP FINANCE)
(503) 415-5145
Entity
Organization
Contact information
Practice address
2101 NE 139TH ST, SUITE 460, VANCOUVER, WA 98686-2325
(503) 413-4318
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
60709743
WA
Other
Enumeration date
01/31/2017
Last updated
01/20/2026
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