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

Legacy Meridian Park Pediatric Rehab

Organization Children's Rehabilitation Hospital · NPI 1801122593

Legacy Meridian Park Pediatric Rehab is a Children's Rehabilitation Hospital in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2009.

Licensed in
OR
In the registry since
2009

Practice location Address checks out

19250 SW 65th Ave Ste 125
Tualatin, OR 97062-7745
Phone: (503) 413-4505
Show map & directions

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

Specialties & licences

Children's Rehabilitation Hospital (primary) Taxonomy 283XC2000X · Licence 930618915 (OR)

Record details

NPI number1801122593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Jensen — Vp Finance · (503) 415-5145
NPI enumeratedOctober 30, 2009
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing addressPo Box 6689, Portland, OR 97228-6689