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

Organization Internal Medicine Physician · NPI 1194197442

Legacy Physiatry Group Oregon, LLC is an Internal Medicine Physician in Lake Oswego, Oregon. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5 Centerpointe Dr Ste 400
Lake Oswego, OR 97035-8651
Phone: (972) 372-1663
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1194197442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Vivek Sastry — Ceo · (972) 372-1663
NPI enumeratedOctober 27, 2015
Last updated in NPPESOctober 27, 2015
Mailing address850 Central Pkwy E, Ste 275, Plano, TX 75074-5561

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