LEGACY SALMON CREEK HOSPITAL (NPI# 1982995957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982995957 |
| Entity Type | Organization |
| Organization Name | LEGACY SALMON CREEK HOSPITAL |
| Other Organization Name | LEGACY SALMON CREEK HOSPITAL PBB |
| Practice Address |
2211 Ne 139th St Vancouver WA 98686-2742 |
| Mailing Address |
Po Box 2077 Portland OR 97208-2077 |
| Practice Telephone | 3604871000 |
| Practice Fax Number | 3604871199 |
| Mailing Telephone | 5034133958 |
| Mailing Fax Number | 5034133212 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |
| Authorized Official Name | SCOTT JOHNSON (VP FINANCE AND INTERIM CFO) |
| Authorized Official Telephone | 5034155730 |
| Is Organization Subpart | Y |
| Parent Organization Name | LEGACY SALMON CREEK HOSPITAL |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP3300X |
Clinic/Center Specialization: Pain |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Legacy Salmon Creek Hospital PBB | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1790705275 | Legacy Salmon Creek Hospital | Pharmacy | 2121 E 139th St, Ste 310, Vancouver, WA 98686-2742 | 2006-07-20 |
| 1538709803 | Legacy Salmon Creek Hospital | Clinic/Center | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2020-01-14 |
| 1356357784 | Legacy Salmon Creek Hospital | Clinic/Center | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2006-07-31 |
| 1700809829 | Legacy Salmon Creek Hospital | Clinic/Center | 2211 Ne 139th St, Vancouver, WA 98686 | 2006-07-26 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | LEGACY SALMON CREEK HOSPITAL | 2211 Ne 139th St, Vancouver, WA 98686-2742 |
| Street Address |
2211 NE 139TH ST |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98686-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487642591 | Vivek J Murari | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2005-10-12 |
| 1174159297 | Celeste Morgan | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2020-03-20 |
| 1497393193 | Jessica Lyn Bilger | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-12-13 |
| 1144864521 | Breanne Mary Davis | Occupational Therapist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2019-10-29 |
| 1407336787 | Christine Garrow | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2018-08-16 |
| 1144743501 | Eric Austin Jordan Nash | Nurse Practitioner | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-07-18 |
| 1720528698 | Candace M Hart | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2017-02-27 |
| 1801343868 | Kathryn Norton | Pharmacist | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2016-09-07 |
| 1114381084 | Eduardo Serpa | Internal Medicine | 2211 Ne 139th St, Vancouver, WA 98686 | 2016-04-07 |
| 1699146696 | Thuan Huy Nguyen | Registered Nurse | 2211 Ne 139th St, Vancouver, WA 98686-2742 | 2015-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154891117 | Dorota Bozena Barton | Speech-Language Pathologist | 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 | 2018-12-03 |
| 1881161818 | Michelle Wolfe | Dental Assistant | A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 | 2018-10-29 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1801382387 | Kristopher K Kostenko | Dentist | 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 | 2018-07-08 |
| 1689164071 | Tegan Mills | Occupational Therapist | 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 | 2018-05-11 |
| 1164924122 | Kate Kristin Lawrence | Speech-Language Pathologist | 2215 Ne 104th St, Vancouver, WA 98686 | 2018-03-06 |
| 1437609567 | Elina Baranets | Registered Nurse | 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 | 2016-10-13 |
| 1386039550 | Sean Vikram Bhatia | Internal Medicine | Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 | 2015-04-03 |
| 1376988642 | Lindsay Hussey-andersen | Orthopaedic Surgery | 2525 Ne 139th St Ste 140, Vancouver, WA 98686 | 2013-05-01 |
| 1710253109 | Legacy Salmon Creek Hospital | Speech-Language Pathologist | 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 | 2012-03-29 |
| Find all providers in zip 98686 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881109361 | Advanced Acupuncture, Inc. | Clinic/Center | 9411 Ne Highway 99 Ste 1, Vancouver, WA 98665-8970 | 2017-12-06 |
| 1699144865 | Planned Parenthood of The Columbia/willamette | Clinic/Center | 11516 Se Mill Plain Blvd Ste 2e, Suite 2e, Vancouver, WA 98684-5082 | 2015-09-17 |
| 1265842041 | Onsite Doctors, LLC | Clinic/Center | 1800 Se Columbia River Dr., Vancouver, WA 98661 | 2014-05-02 |
| 1942641584 | Pnw Ent | Clinic/Center | 718 Ne 87th Ave, Vancouver, WA 98664-1970 | 2013-07-11 |
| 1538709803 | Legacy Salmon Creek Hospital | Clinic/Center | 2101 Ne 139th St Ste 460, Vancouver, WA 98686-2325 | 2020-01-14 |
| 1851944375 | Ideal Option, Pllc | Clinic/Center | 315 W Mill Plain Blvd Ste 200, Vancouver, WA 98660-3999 | 2019-07-23 |
| 1225507890 | Columbia Family Medicine Clinic LLC | Clinic/Center | 3606 Main St, Vancouver, WA 98663-2257 | 2018-11-13 |
| 1801319827 | Siloam Ps | Clinic/Center | 406 Se 131st Ave Ste 203, Vancouver, WA 98683-4013 | 2017-07-21 |
| 1841737699 | Legacy Salmon Creek Im | Clinic/Center | 2101 Ne 139th St, Suite 460, Vancouver, WA 98686-2325 | 2017-01-31 |
| 1912369430 | Plum Village Wellness | Clinic/Center | 202 E Mcloughlin Blvd, 201, Vancouver, WA 98663-3369 | 2016-03-23 |
| Find all providers in VANCOUVER | ||||
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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.