Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Legacy Care LLC

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1952194342

Legacy Care LLC is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portland, Oregon. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6108 SE Clatsop St
Portland, OR 97206-0708
Phone: (202) 352-4712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) Taxonomy 320600000X

Record details

NPI number1952194342
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bewuqetu Mekuriya — Director · (202) 352-4712
Other names Legacy Care
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address6108 Se Clatsop St, Portland, OR 97206-0708

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