LEGACY MERIDIAN PARK HOSPITAL (NPI# 1023305034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023305034 |
| Entity Type | Organization |
| Organization Name | LEGACY MERIDIAN PARK HOSPITAL |
| Practice Address |
19300 Sw 65th Ave Tualatin OR 97062-7706 |
| Mailing Address |
Po Box 6689 Portland OR 97228-6689 |
| Practice Telephone | 5036921212 |
| Practice Fax Number | 5036910919 |
| Mailing Telephone | 5034133958 |
| Mailing Fax Number | 5034133212 |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2018-02-27 |
| Authorized Official Name | SARAH JENSEN (INTERIM CFO) |
| Authorized Official Telephone | 5034155145 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY MERIDIAN PARK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184647620 | Legacy Meridian Park Hospital | General Practice | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-25 |
| 1689694150 | Legacy Meridian Park Hospital | Pharmacy | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | LEGACY MERIDIAN PARK HOSPITAL | 19300 Sw 65th, Tualatin, OR 97062 |
| Street Address |
19300 SW 65TH AVE |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417392 | Paul R Ash | Psychiatry & Neurology | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2005-06-14 |
| 1689217044 | Jacob White | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-17 |
| 1679114011 | Jeri Leanne Shanahan | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2019-10-07 |
| 1255840161 | Cinthia Marie Adair | Speech-Language Pathologist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2017-09-22 |
| 1609311059 | Olivia Terris | Dietitian, Registered | 19300 Sw 65th Ave, Cardiac and Pulmonary Rehab, Tualatin, OR 97062-7706 | 2016-12-21 |
| 1568826386 | Kathryn Renee Foutch | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2016-04-07 |
| 1497129035 | Job Anderson | Pharmacist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2015-11-19 |
| 1750775698 | Jessica Lorenz | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2015-03-27 |
| 1528487956 | Raelin Fullmer I | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2014-04-14 |
| 1497170849 | Legacy Meridan Park Hospital | Pharmacy | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285865923 | Urmee Hossain | Hospitalist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2009-07-29 |
| 1487743118 | Lawrence Frank Haglund | Hospitalist | 19300 Sw 65th Ave, Unit A, Tualatin, OR 97062-7706 | 2006-10-12 |
| 1467414417 | Elizabeth Tacvorian | Hospitalist | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2006-04-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912386616 | Hospitalists of Oregon | Hospitalist | 1193 Cedar Ridge Dr, Eugene, OR 97401-1916 | 2015-05-27 |
| 1083977417 | Katrina G Hoffman | Hospitalist | 4600 Evergreen Pl Se, Albany, OR 97322-6182 | 2012-06-20 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1558532317 | Ee Lin Wan | Hospitalist | 2640 E Barnett Rd, #e-333, Medford, OR 97504-4301 | 2008-03-19 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1598241010 | Bernard Nicholas | Hospitalist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2018-07-17 |
| 1205338084 | Maricela Elena Bandel-ramirez | Hospitalist | 1700 E 19th St, The Dalles, OR 97058 | 2018-03-07 |
| 1114456217 | Temur Said | Hospitalist | 2825 E Barnett Rd, Medford, OR 97504-8332 | 2017-06-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.