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LEGACY MT. HOOD RADIOLOGY
NPI 1104834969
Radiology - Diagnostic Radiology in Gresham, OR

Active since August 04, 2006
24800 SE STARK ST, GRESHAM, OR 97030(503) 674-1233(503) 674-1647 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Legacy Mt. Hood Radiology NPPES

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

LEGACY MT. HOOD RADIOLOGY (NPI 1104834969) is a healthcare organization registered as a diagnostic radiology in Gresham, Oregon and active in the NPI registry since August 2006. The organization lists Pamela S. Vukovich, Sr. Vp/cfo, as its authorized official.

NPPES Registry Identity

NPI1104834969
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameLEGACY MOUNT HOOD MEDICAL CENTER
Location Address24800 SE STARK STGresham, OR 97030-3378
Mailing AddressPo Box 10768Portland, OR 97296-0768 · (503) 674-1233 · Fax (503) 674-1647
Phone(503) 674-1233
Fax(503) 674-1647
Organization SubpartNo
Authorized OfficialPamela S. VukovichSr. Vp/cfo · (503) 415-5370
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104834969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in OR · 14 1337
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
24800 SE STARK ST, Gresham, OR 97030
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Other Names 1

Doing Business AsLegacy Mt. Hood Radiology

Other Identifiers 1

Medicaid240079OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAREN JEANNE O'NEILL DO
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1400
KATHRIN ROSE MEYERS D.O.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-8407
DR. KELLY LEAF MD
Emergency Medicine
24800 SE STARK ST, EMERGENCY DEPARTMENT
GRESHAM, OR 97030
Multnomah County (503) 674-1122
DR. BRITTANY NICOLE KISHEL M.D.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-8407
AMY KATHERINE CHAUMETON M.D.
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1580
NIGEL M LONGLAND DO
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1400
DANIEL R BERGER
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 674-1122
STACIA AKERS PT
Physical Therapist
24800 SE STARK ST
GRESHAM, OR 97030
Multnomah County (503) 413-3879

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 Mount Hood Medical Center's NPI number?

The NPI number for Legacy Mount Hood Medical Center is 1104834969. It was assigned to this organization in the NPPES registry on August 4, 2006. The provider is doing business as Legacy Mt. Hood Radiology.

Where is Legacy Mount Hood Medical Center located?

Legacy Mount Hood Medical Center is located at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 674-1233.

What is Legacy Mount Hood Medical Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

What insurance does Legacy Mount Hood Medical Center accept?

Health plans from Moda Health Plan, Inc. and PacificSource Health Plans list Legacy Mount Hood Medical Center 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 Mount Hood Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.