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

Legacy Clinic Woodburn

Organization Non-Pharmacy Dispensing Site · NPI 1821260860

Legacy Clinic Woodburn is a Non-Pharmacy Dispensing Site in Woodburn, Oregon. Licensed in Oregon. Registered with an NPI since 2008.

Licensed in
OR
In the registry since
2008
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Practice location Address checks out

1002 N Boones Ferry Rd
Woodburn, OR 97071-9602
Phone: (503) 981-9526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD19203 (OR)

Record details

NPI number1821260860
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedMarch 31, 2008
Last updated in NPPESOctober 22, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705