Organization
LEGACY MOUNT HOOD MEDICAL CENTER
Active
Parent organization
LEGACY MOUNT HOOD MEDICAL CENTER
Other names
Legacy Mount Hood Medical Center Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEGACY MOUNT HOOD MEDICAL CENTER
Authorized official
LINDA S HOFF (SR VP AND CFO)
(503) 415-5730
Entity
Organization
Contact information
Practice address
24800 SE STARK ST, GRESHAM, OR 97030-3378
(503) 674-1230
Mailing address
PO BOX 4037, PORTLAND, OR 97208-4037
(503) 413-3958
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
IP-000221-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3808954
NCPDP
OR
Enumeration date
07/20/2006
Last updated
02/17/2017
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