LEGACY MERIDIAN PARK HOSPITAL
NPI 1023305034
Hospitalist in Tualatin, OR

Q: What is Legacy Meridian Park Hospital's NPI number?

The NPI number for Legacy Meridian Park Hospital is 1023305034. It was assigned to this organization in the NPPES registry on June 29, 2011.

Q: What is Legacy Meridian Park Hospital's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since June 29, 2011

19300 SW 65TH AVE, TUALATIN, OR 97062(503) 692-1212(503) 691-0919 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Feb 27, 2018 (2 updates tracked since 2018).

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About Legacy Meridian Park Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGACY MERIDIAN PARK HOSPITAL (NPI 1023305034) is a healthcare organization registered as a hospitalist in Tualatin, Oregon and active in the NPI registry since June 2011. The organization lists Sarah Jensen, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1023305034

Entity TypeOrganization

Primary Taxonomy208M00000X

Legal Business NameLEGACY MERIDIAN PARK HOSPITAL

Location Address19300 SW 65TH AVETualatin, OR 97062-7706

Mailing AddressPo Box 6689Portland, OR 97228-6689 · (503) 413-3900

Phone(503) 692-1212

Fax(503) 691-0919

Organization SubpartYes

Authorized OfficialSarah JensenVp Finance · (503) 415-5145

Enumeration DateJune 29, 2011

Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1023305034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

Definition

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.

19300 SW 65TH AVE, Tualatin, OR 97062

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Legacy Meridian Park Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

218

Medicare enrollment records show 218 clinicians reassign Medicare billing to Legacy Meridian Park Hospital, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 83 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 26

Internal Medicine39

Family Practice33

Cardiovascular Disease (Cardiology)32

Nurse Practitioner22

Pulmonary Disease17

Interventional Radiology12

Interventional Cardiology10

Neurology10

18 other specialties43

Nearest to this location (20)

See all 218

Cyril Kuriakose, MD

Nephrology

NPI 1255536181

19300 SW 65TH AVE
Tualatin, OR 97062

(503) 692-1212

✔ PECOSSame address

Nicholas Abbott, M.D.

Cardiac Electrophysiology

NPI 1124319330

19250 SW 65TH AVE
Tualatin, OR 97062

(503) 413-7162

✔ PECOS✔ Accepts Medicare0.1 mi

John Thomas Forsythe, MD

Internal Medicine

NPI 1134188386

19250 SW 65TH AVE #110
Tualatin, OR 97062

(503) 692-1205

✔ PECOS✔ Accepts Medicare0.1 mi

Meghan Hansen, SLP

Qualified Speech Language Pathologist

NPI 1699449876

19250 SW 65TH AVE STE 125
Tualatin, OR 97062

(503) 413-4505

0.1 mi

Kenneth Leclerc, M.D.

Cardiovascular Disease (Cardiology)

NPI 1760483754

19250 SW 65TH AVE, SUITE 265
Tualatin, OR 97062

(503) 413-7162

✔ PECOS✔ Accepts Medicare0.1 mi

Mary Mckenzie, MD

Pulmonary Disease

NPI 1447417100

19250 SW 65TH AVE STE 137
Tualatin, OR 97062

(503) 413-6499

✔ PECOS✔ Accepts Medicare0.1 mi

Suzanne Migchelbrink, MD

Internal Medicine

NPI 1174592190

19250 SW 65TH AVE STE 110
Tualatin, OR 97062

(503) 692-1205

✔ PECOS✔ Accepts Medicare0.1 mi

Natalie Teegarden

Physical Therapist in Private Practice

NPI 1144928219

19250 SW 65TH AVE STE 125
Tualatin, OR 97062

(503) 692-1670

0.1 mi

Elizabeth Yay-Gerwig, OTR/L, OTD

Occupational Therapist in Private Practice

NPI 1659046506

19250 SW 65TH AVE STE 125
Tualatin, OR 97062

(503) 413-4505

0.1 mi

David Delman, M.D.

Neurology

NPI 1669764924

19260 SW 65TH AVE MEDICAL PLAZA TWO, SUITE 280
Tualatin, OR 97062

(503) 692-2850

✔ PECOS✔ Accepts Medicare0.1 mi

Melissa Davis, MSN, FNP-C

Nurse Practitioner

NPI 1437636065

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Jan Hua, DO

Internal Medicine

NPI 1922635150

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Emoniel Isakharov

Internal Medicine

NPI 1649777863

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Eric Macevoy, M.D., MBA

Family Practice

NPI 1912267816

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Erika Mote, FNP

Nurse Practitioner

NPI 1134507270

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Heather Trevino, FNP

Nurse Practitioner

NPI 1164162822

19875 SW 65TH AVE STE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Jenny Nordeen, M.D.

Family Practice

NPI 1871789024

19875 SW 65TH AVE STE. 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS0.3 mi

Warren Okuns, M.D.

Family Practice

NPI 1134385461

19875 SW 65TH AVE SUITE 100
Tualatin, OR 97062

(503) 692-7785

✔ PECOS✔ Accepts Medicare0.3 mi

Daniela Samoil, MD

Cardiovascular Disease (Cardiology)

NPI 1891750329

6787 SW WAMPANOAG DR STE 240
Tualatin, OR 97062

(503) 344-6462

✔ PECOS✔ Accepts Medicare0.4 mi

Tanell Ogbeide, C.F.N.P.

Nurse Practitioner

NPI 1609108687

18010 SW MCEWAN RD
Lake Oswego, OR 97035

(503) 525-7500

✔ PECOS✔ Accepts Medicare1.0 mi

See all 218 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Legacy Meridian Park Hospital's NPI number?

The NPI number for Legacy Meridian Park Hospital is 1023305034. It was assigned to this organization in the NPPES registry on June 29, 2011.

Where is Legacy Meridian Park Hospital located?

Legacy Meridian Park Hospital is located at 19300 SW 65th Ave, Tualatin, OR 97062. The listed phone number is (503) 692-1212.

What is Legacy Meridian Park Hospital's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Legacy Meridian Park Hospital enrolled in Medicare?

Yes. Legacy Meridian Park Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Meridian Park Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 218 clinicians in 26 Medicare specialties reassign their Medicare billing to Legacy Meridian Park Hospital. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (39), Family Practice (33) and Cardiovascular Disease (Cardiology) (32). Of these, 1 practice at this address and 83 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Meridian Park Hospital accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc. and Regence BlueCross BlueShield of Oregon list Legacy Meridian Park Hospital as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Legacy Meridian Park Hospital was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.