LEGACY EMANUEL HOSPITAL & HEALTH CENTER NPI 1700809027

NPI Information

NPI: 1700809027
Provider Name: LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization

CLIA Number: 38D1074968

Address:
2800 N VANCOUVER AVE STE 230
PORTLAND, OR
ZIP 97227
Phone: (503) 397-0471
Get Directions

LEGACY EMANUEL HOSPITAL & HEALTH CENTER is a clinic center in Portland, OR. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LEGACY EMANUEL HOSPITAL & HEALTH CENTER NPI is 1700809027. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2800 N VANCOUVER AVE STE 230
PORTLAND, OR
ZIP 97227-668
Phone: (503) 397-0471

The provider's authorized official is Sarah Jensen .
The authorized official title is Interim Cfo and has the following contact phone number (503) 415-5145.

The CLIA number assigned to this NPI record is 38D1074968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/27/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	208000000X	Pediatrics		No
3	2080P0006X	Pediatrics	Developmental - Behavioral Pediatrics	No
4	2080P0205X	Pediatrics	Pediatric Endocrinology	No
5	2080P0207X	Pediatrics	Pediatric Hematology-Oncology	No
6	2084P0800X	Psychiatry & Neurology	Psychiatry	No
7	208M00000X	Hospitalist		No
8	261Q00000X	Clinic/Center		Yes
9	261QP2000X	Clinic/Center	Physical Therapy	No
10	261QU0200X	Clinic/Center	Urgent Care	No
11	367A00000X	Advanced Practice Midwife		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	135207	MEDICAID	OREGON
2	286524	MEDICAID	OREGON
3	286911	MEDICAID	OREGON
4	286728	MEDICAID	OREGON
5	286863	MEDICAID	OREGON
6	023133	MEDICAID	OREGON
7	286824	MEDICAID	OREGON
8	277802	MEDICAID	OREGON
9	286771	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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