LEGACY EMANUEL HOSPITAL & HEALTH CENTER (NPI# 1700809027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700809027 |
| Entity Type | Organization |
| Organization Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER |
| Practice Address |
2800 N Vancouver Ave Ste 230 Portland OR 97227-1668 |
| Mailing Address |
Po Box 4399 Portland OR 97208-4399 |
| Practice Telephone | 5033970471 |
| Mailing Telephone | 5033970471 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | SARAH JENSEN (INTERIM CFO) |
| Authorized Official Telephone | 5034155145 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY EMANUEL HOSPITAL & HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities | ||
| N | 367A00000X | Advanced Practice Midwife | Physician Assistants & Advanced Practice Nursing Providers | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
| N | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 286863 | 05 | |
| OR | 277802 | 05 | |
| OR | 286911 | 05 | |
| OR | 286771 | 05 | |
| OR | 286524 | 05 | |
| OR | 286728 | 05 | |
| OR | 023133 | 05 | |
| OR | 135207 | 05 | |
| OR | 286824 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316129232 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 500 N Columbia River Hwy Ste 6, Saint Helens, OR 97051-1201 | 2007-12-03 |
| 1417978008 | Legacy Emanuel Hospital & Health Center | Radiology | 500 N Columbia River Hwy Ste 2, Saint Helens, OR 97051-1201 | 2006-07-21 |
| 1073053757 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 2801 N Gantenbein Ave, Portland, OR 97227 | 2017-03-01 |
| 1245773225 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2016-11-23 |
| 1003367491 | Legacy Emanuel Hospital & Health Center | General Acute Care Hospital | 1225 Ne 2nd Ave, Portland, OR 97232 | 2016-10-20 |
| 1003822487 | Legacy Emanuel Hospital & Health Center | Psychiatric Unit | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-31 |
| 1831112358 | Legacy Emanuel Hospital & Health Center | Clinic/Center | 2801 N Gantenbein Ave, Portland, OR 97227-1623 | 2006-07-25 |
| 1295756898 | Legacy Emanuel Hospital & Health Center | Clinical Medical Laboratory | 1225 Ne 2nd Ave, Portland, OR 97232-2003 | 2006-07-21 |
| 1417977976 | Legacy Emanuel Hospital & Health Center | Pharmacy | 501 N Graham St, Portland, OR 97227-1654 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | 2801 N Gantenbein Ave, Portland, OR 97227-1623 |
| Oregon Corporations, Companies and Business Names | LEGACY EMANUEL HOSPITAL & HEALTH CENTER | 2801 N Gantenbein, Portland, OR 97227 |
| Street Address |
2800 N VANCOUVER AVE STE 230 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97227-1668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205801065 | Darcy Elizabeth Deering | Internal Medicine | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2006-02-22 |
| 1821626342 | Jessica Marie Boyce | Student in an Organized Health Care Education/Training Program | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2020-03-30 |
| 1932604261 | Manuel Diaz Lewis | Student in an Organized Health Care Education/Training Program | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2018-03-28 |
| 1164876363 | Adrian R. Begaye | Student in an Organized Health Care Education/Training Program | 2800 N Vancouver Ave Ste 230, Legacy Clinic Emanuel, Portland, OR 97227-1668 | 2016-04-14 |
| 1265895635 | Karl Stoltze | Internal Medicine | 2800 N Vancouver Ave Ste 230, Legacy Clinic Emanuel, Portland, OR 97227-1668 | 2016-04-01 |
| 1184094955 | Noah Hornick | Student in an Organized Health Care Education/Training Program | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2015-10-05 |
| 1740696640 | Bradley Jacob Geyer | Internal Medicine | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2014-07-11 |
| 1811337629 | Kevin H. Carroll | Internal Medicine | 2800 N Vancouver Ave Ste 230, Ohsu, Portland, OR 97227-1668 | 2013-06-26 |
| 1679706014 | Justin T Westbrook | Psychologist | 2800 N Vancouver Ave Ste 230, Portland, OR 97227 | 2009-09-02 |
| 1912184516 | Kimberly Ann Rydbom | Internal Medicine | 2800 N Vancouver Ave Ste 230, Portland, OR 97227-1668 | 2008-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466574 | Jessica Michelle Simonetti | Psychologist | Portland Psychotherapy Clinic, Research and Training Ce, 3700 N Williams Ave, Portland, OR 97227 | 2020-10-29 |
| 1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
| 1851955975 | Erin Marie Staples | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave;, Suite 230, Portland, OR 97227 | 2019-04-24 |
| 1922588508 | Melanie Grace Mix | Physician Assistant | 501 N Graham St Ste 420, Portland, OR 97227 | 2018-08-14 |
| 1730615071 | Mehran Giblin | Student in an Organized Health Care Education/Training Program | 2800 N. Vancouver Ave, Suite 230, Legacy Clinic Emanuel, Portland, OR 97227 | 2017-05-05 |
| 1730623687 | Christina Grace Belter | Optometrist | 300 N Graham St Ste 300, Portland, OR 97227 | 2016-12-12 |
| 1407300205 | Jenna Abernathy | Counselor | 3537 N Williams Ave, Portland, OR 97227 | 2016-08-09 |
| 1215390760 | Tanya Marie Woods | Massage Therapist | 3808 N. Williams Ave., Portland, OR 97227 | 2016-04-01 |
| 1033596853 | Eric Allen Martin | Counselor | 2054 N. Vancouver Ave, Portland, OR 97227 | 2015-04-30 |
| 1285040436 | Berk Neurosurgical LLC | Neurological Surgery | 501 N Graham St Ste 500, Portland, OR 97227 | 2014-07-09 |
| Find all providers in zip 97227 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| 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). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413240 | Gfm LLC | Clinic/Center | 1235 Se Division St Ste 114, Portland, OR 97202-1042 | 2020-07-01 |
| 1134750037 | Legacy Good Samaritan Hospital and Medical Center | Clinic/Center | 1040 Nw 22nd Ave Ste 250, Portland, OR 97210-3057 | 2020-01-29 |
| 1679030290 | Yoana Kanev | Clinic/Center | 3701 Sw Condor Ave Apt C1, Portland, OR 97239-4158 | 2019-03-01 |
| 1841760584 | Orthopedic Needle LLC | Clinic/Center | 328 Ne Failing St Ste C, Portland, OR 97212-1157 | 2018-11-26 |
| 1073081881 | Sober Living Oregon Recovery Center | Clinic/Center | 1122 Ne 122nd Ave Ste A102, Portland, OR 97230-2082 | 2018-11-09 |
| 1366933830 | Dr Frances V Verzosa Md PC | Clinic/Center | 12770 Se Stark St Bldg C, Portland, OR 97233-1539 | 2018-05-21 |
| 1023520814 | Concordia Wellness, LLC | Clinic/Center | 3014 Ne Killingsworth St, Portland, OR 97211-6814 | 2017-11-01 |
| 1114443124 | Zephyr Acupuncture and Bodywork, LLC | Clinic/Center | 4313 Ne Tillamook St, Portland, OR 97213-1315 | 2017-08-22 |
| 1164952495 | Earth Source Medicine | Clinic/Center | 2207 Ne Broadway St Ste 200, Portland, OR 97232-1791 | 2017-06-19 |
| 1902353873 | Siesta Acupuncture LLC | Clinic/Center | 2818 Se 70th Ave, Portland, OR 97206-1117 | 2016-09-08 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.