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

Legacy Meridan Park Hospital

Organization Community/Retail Pharmacy · NPI 1497170849

Legacy Meridan Park Hospital is a Community/Retail Pharmacy in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2014.

Licensed in
OR
In the registry since
2014

Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-7470
Fax: (503) 692-7437
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-0000864 (OR)

Record details

NPI number1497170849
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Sieg — Phcy Srvcs Mgr · (503) 692-2665
Other names Meridian Park Medical Center Community Pharmacy
NPI enumeratedFebruary 21, 2014
Last updated in NPPESMarch 9, 2015
Mailing address19300 Sw 65th Ave, Tualatin, OR 97062-7706

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