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

Legacy Meridian Park Hospital

Organization General Practice Physician · NPI 1184647620

Legacy Meridian Park Hospital is a General Practice Physician in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
4

Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-1212
Show map & directions

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

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 14-1336 (OR)
General Practice Physician Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1184647620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Jensen — Vp Finance · (503) 415-5145
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing addressPo Box 4037, Portland, OR 97208-4037

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