Organization
LEGACY VISITING NURSE ASSOCIATION
Active
Organization
LEGACY VISITING NURSE ASSOCIATION
Active
Other names
Legacy Hospice Services
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LOOMIS (CFO)
(503) 415-5730
Entity
Organization
Contact information
Practice address
6475 SW BORLAND RD STE J, TUALATIN, OR 97062-9708
(503) 225-6372
Mailing address
PO BOX 4466, PORTLAND, OR 97208-4466
(503) 413-3958
(503) 413-3212
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
NA
—
315D00000X
Inpatient Hospice
NA
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
054643
REGENCE BLUE CROSS
OR
05
—
132238
—
OR
Enumeration date
07/21/2006
Last updated
09/06/2023
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