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

Legacy Good Samaritan Hospital and Medical Center

Organization Community/Retail Pharmacy · NPI 1609896174

Legacy Good Samaritan Hospital and Medical Center is a Community/Retail Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

1040 NW 22nd Ave Ste 100
Portland, OR 97210-3057
Phone: (503) 413-8122
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence RP-0001427-CS (OR)

Record details

NPI number1609896174
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationLegacy Good Samaritan Hospital and Medical
Authorized official Sarah Jensen — Vp Finance · (503) 415-5145
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing address1040 Nw 22nd Ave, Suite 100, Portland, OR 97210

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