Legacy Good Samaritan Hospital And Medical Center
Community/Retail Pharmacy
1040 Nw 22nd Ave, Suite 100, Portland
Oregon, 97210-3057
503-413-8122 Legacy Good Samaritan Hospital And Medical Center is a Community/Retail Pharmacy in Portland, Oregon. This organization is also known as sub part of Legacy Good Samaritan Hospital And Medical. It is located at 1040 Nw 22nd Ave, Suite 100, Portland and it's customer support contact number is 503-413-8122. The authorized person of Legacy Good Samaritan Hospital And Medical Center is Sarah Jensen who is Vp Finance of the pharmacy and his contact number is 503-415-5145. Active license number of Legacy Good Samaritan Hospital And Medical Center is RP-0001427-CS for Community/Retail Pharmacy in Oregon.
Legacy Good Samaritan Hospital And Medical Center is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Legacy Good Samaritan Hospital And Medical Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Legacy Good Samaritan Hospital And Medical Center |
| Type: | Community/Retail Pharmacy |
| Location: | 1040 Nw 22nd Ave, Suite 100, Portland,
Oregon, 97210-3057 |
| Phone: | 503-413-8122 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy 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 pharmacy are as mentioned below.
| NPI Number: | 1609896174 |
| Parent Organization: | Legacy Good Samaritan Hospital And Medical |
| NPI Enumeration Date: | 20 Jul, 2006 |
| NPI Last Update On: | 30 Oct, 2024 |
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 | |
| Community/Retail Pharmacy | RP-0001427-CS | Oregon | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 3806051 | Other | Oregon | Ncpdp |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1040 Nw 22nd Ave, Suite 100
Portland, Oregon |
| Zip: | 97210 |
| Phone Number: | 503-413-4048 |
| Fax Number: | 503-413-4449 |
Patients can reach Legacy Good Samaritan Hospital And Medical Center at
1040 Nw 22nd Ave, Suite 100, Portland, Oregon or can
call on customer care at 503-413-8122.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.