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

Legacy Mount Hood Medical Center

Organization Diagnostic Radiology Physician · NPI 1104834969

Legacy Mount Hood Medical Center is a Diagnostic Radiology Physician in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006

Practice location Address checks out

24800 SE Stark St
Gresham, OR 97030-3378
Phone: (503) 674-1233
Fax: (503) 674-1647
Show map & directions

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

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 14 1337 (OR)

Record details

NPI number1104834969
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pamela Vukovich — Sr. Vp/Cfo · (503) 415-5370
Other names Legacy Mt. Hood Radiology
NPI enumeratedAugust 4, 2006
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 10768, Portland, OR 97296-0768

Other providers in Gresham