OPTION CARE AT LEGACY HEALTH LLC (NPI# 1841350527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841350527 |
Entity Type | Organization |
Organization Name | OPTION CARE AT LEGACY HEALTH LLC |
Other Organization Name | OPTION CARE AT LEGACY HEALTH |
Practice Address |
16195 Sw 72nd Avenue Portland OR 97224-7766 |
Mailing Address |
4259 Paysphere Cir Chicago IL 60674-0042 |
Practice Telephone | 8663478660 |
Practice Fax Number | 8663478662 |
Mailing Telephone | 8008796137 |
Enumeration Date | 2006-12-11 |
Last Update Date | 2016-08-15 |
Authorized Official Name | CLIFF BERMAN (SECRETARY) |
Authorized Official Telephone | 8008796137 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
RP0001173CS | OR | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
RP0001173CS | OR | Suppliers |
N | 251F00000X | Home Infusion | Agencies | ||
Y | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
RP0001173CS | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 6028997 | 05 | |
OK | 026863 | 05 | |
AK | MS009OR | 05 |
Other Name | Type Code |
---|---|
Option Care At Legacy Health | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861099681 | Option Care At Legacy Health LLC | Home Infusion | 2275 Ne Doctors Dr Ste 10, Bend, OR 97701-6324 | 2020-10-05 |
1598362386 | Option Care At Legacy Health LLC | Home Infusion | 16195 Sw 72nd Ave, Portland, OR 97224-7766 | 2020-10-05 |
1174875017 | Option Care At Legacy Health LLC | Durable Medical Equipment & Medical Supplies | 2275 Ne Doctors Dr, Suite 10, Bend, OR 97701-6324 | 2012-10-02 |
Street Address |
16195 SW 72ND AVENUE |
City | PORTLAND |
State | OR |
Zip Code | 97224-7766 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
Find all providers in zip 97224 |
Taxonomy Code | 3336H0001X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Home Infusion Therapy Pharmacy |
Pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance. |
Notes: Source: National Home Infusion Association [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669668752 | Walgreens Specialty Pharmacy LLC | Pharmacy | 9775 Sw Gemini Dr, Ste 1, Beaverton, OR 97008 | 2007-09-21 |
1447361514 | Good Samaritan Hospital Corvallis | Pharmacy | 501 Nw Elks Dr Ste 201, Corvallis, OR 97330-3757 | 2006-08-31 |
1063458313 | Asante Health Systems, Inc. | Pharmacy | 2900 E. Barnett Rd. Ste. 1, Medford, OR 97504-8380 | 2006-06-22 |
1558693291 | Providence Health & Services - Oregon | Pharmacy | 840 Royal Ave, Suite 120, Medford, OR 97504-6461 | 2010-02-05 |
1497935985 | Asante | Pharmacy | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2007-11-13 |
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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.