Legacy Good Samaritan Hospital And Medical Center
General Acute Care Hospital
1015 Nw 22nd Ave, Portland
Oregon, 97210-3025
503-413-7711 Legacy Good Samaritan Hospital And Medical Center is a General Acute Care Hospital in Portland, Oregon. It is located at 1015 Nw 22nd Ave, Portland and it's customer support contact number is 503-413-7711. The authorized person of Legacy Good Samaritan Hospital And Medical Center is Sarah Jensen who is Vp Finance of this DME and his contact number is 503-415-5145. Active license number of Legacy Good Samaritan Hospital And Medical Center is 14-0027 for General Acute Care Hospital in Oregon. Legacy Good Samaritan Hospital And Medical Center accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Legacy Good Samaritan Hospital And Medical Center is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity.
DME Supplier Details:
Legacy Good Samaritan Hospital And Medical Center type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Legacy Good Samaritan Hospital And Medical Center |
| Type: | General Acute Care Hospital |
| Location: | 1015 Nw 22nd Ave, Portland,
Oregon, 97210-3025 |
| Phone: | 503-413-7711 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Sarah Jensen |
| Position: | Vp Finance |
| Contact Number: | 503-415-5145 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1780608216 |
| NPI Enumeration Date: | 27 Jul, 2006 |
| NPI Last Update On: | 20 Jan, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Good Samaritan Hospital And Medical Center are as mentioned below.
| Specialization | License Number | State | Status | |
| General Acute Care Hospital | 14-0027 | Oregon | Primary | |
| Durable Medical Equipment & Medical Supplies | 14-0027 | Oregon | Secondary | |
| Transplant Surgery | | | Secondary | |
| Urgent Care | | | Secondary | |
| Clinic/center | NA | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 077404 | Medicaid | Oregon | |
| 1018731 | Medicaid | Washington | |
| 079009 | Medicaid | Oregon | |
Medicare Enrollment:
Legacy Good Samaritan Hospital And Medical Center is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0547179939 | O20031125000416 | Legacy Good Samaritan Hospital And Medical Center | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 4037,
Portland, Oregon |
| Zip: | 97208-4037 |
| Phone Number: | 503-413-4048 |
| Fax Number: | 503-413-4449 |
Patients can reach Legacy Good Samaritan Hospital And Medical Center at
1015 Nw 22nd Ave, Portland, Oregon or can
call on customer care at 503-413-7711.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.