Legacy Mount Hood Medical Center, NPI 1255354700
General Acute Care Hospital in Gresham, OR, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1255354700
NPI Entity Type Organization
Provider Name Legacy Mount Hood Medical Center
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 24800 Se Stark St, Gresham, OR, US
Provider Mailing Address Po Box 4037, Portland, OR, US, 972084037
Is Sole Proprietor? No
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Organization Official

Official Name Sarah Jensen
Official Position INTERIM CFO
Phone 503-415-5145

Primary Taxonomy

Taxonomy Code

282N00000X

Taxonomy Name General Acute Care Hospital
Classification

General Acute Care Hospital

Group

Hospitals

License No. 14-1337
License State OR
Description 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.

Business Address

Legacy Mount Hood Medical Center
24800 Se Stark St

Gresham, OR, US

Phone: 503-674-1122

Mailing Address

Legacy Mount Hood Medical Center
Po Box 4037
Portland, OR, US
ZIP 972084037
Phone: 503-413-3958
Fax: 503-413-3212

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

261Q00000X

Ambulatory Health Care Facilities

Clinic/Center

141337 OR No

332B00000X

Suppliers

Durable Medical Equipment & Medical Supplies

14-1337 OR No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
138002500 OR REGENCE BLUE CROSS 01
XHSP30551 CA MEDICAID 05
069526 OR MEDICAID 05
0033644 ID MEDICAID 05
XHSP40551 CA MEDICAID 05
HSJIPOR AK MEDICAID 05

Other Providers in OR, US

NPI Name Taxonomy Address

1558919068

MS, RD, LD Lucy Ramquist

Individual

Registered Dietitian

2891 Se Division St Apt 2

Portland, OR

1831388461

DR. PSY.D Thaen Chiam Saelee

Individual

Clinical Psychologist

3806 Tillicum Ln

Roseburg, OR

1548823552

MR. MD Nathaniel Justin Kelly

Individual

Student in an Organized Health Care Education/Training Program

500 Sw Ramsey

Grants Pass, OR

1366735995

MR. RPH Emmanuel Chukwuemeka Amadi

Individual

Pharmacist

7440 N Denver Ave

Portland, OR

1235794629

Chelsea Walker

Individual

Behavioral Analyst

2800 Sw Peaceful Ln

Portland, OR

1942611603

Torrey A Thille

Individual

Clinical Social Worker

2306 Ne Glisan St Ste 200

Portland, OR

1528691110

Northern Pediatrics Llc

Organization

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1447663810

MD Anh Linh Hoang

Individual

Pediatrics Physician

850 Ne 122nd Ave

Portland, OR

1568978971

BCBA, LBA Steven Hardy

Individual

Behavioral Analyst

1675 Sw Marlow Ave Ste 200

Portland, OR

1598822892

DR. PHD Mark R Mcminn

Individual

Clinical Psychologist

18703 Ne Williamson Rd

Newberg, OR

1740905017

Shelby Ramer

Individual

Doula

435 Nw 17th St

Mcminnville, OR

1295450567

Karyssa Ann Endecott

Individual

Case Manager/Care Coordinator

435 Ne Evans St Ste A

Mcminnville, OR

1699246520

FNP-BC Yvonne Renee Martenia

Individual

Family Nurse Practitioner

1819 Nebraska Ave

Grants Pass, OR

1942925318

DR. DMD Rachel Lynn Mendazona

Individual

Dentist

199 Sw Shevlin Hixon Dr Ste A

Bend, OR

1225753692

Nicolle Asencio

Individual

Student in an Organized Health Care Education/Training Program

19500 Se Stark St

Portland, OR

1275258642

Talia Elizabeth Miller

Individual

Mental Health Counselor

8915 Sw Center St

Portland, OR

1033616602

MD Sherilyn M Destefano

Individual

Family Medicine Physician

4411 Sw Vermont St

Portland, OR

1578288932

The Counseling Place Llc

Organization

Counselor

745 Cleveland St

Lebanon, OR

1942925300

PA-C Sara J Wright

Individual

Medical Physician Assistant

7033 Ne Sandy Blvd

Portland, OR

1467937276

LCSW Victoria Harris

Individual

Counselor

2650 Suzanne Way Ste 120

Eugene, OR

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