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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