LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
NPI 1336162874
Psychiatric Unit in Portland, OR

NPI Status: Active since July 25, 2006

Contact Information

1015 NW 22ND AVE
PORTLAND, OR
ZIP 97210
Phone: (503) 413-4848

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  • Organization
  • Psychiatric Unit
  • Accepts Insurance

About LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Legacy Good Samaritan Hospital And Medical Center, a provider established in Portland, Oregon operating as a Psychiatric Unit. The healthcare provider is registered in the NPI registry with number 1336162874 assigned on July 2006. The practitioner's primary taxonomy code is 273R00000X with license number 14-0027 (OR). The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Sarah Jensen (Interim Cfo)

NPI
1336162874
Provider Name
LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
Entity Type
Organization
Location Address
1015 NW 22ND AVE PORTLAND, OR 97210
Location Phone
(503) 413-4848
Mailing Address
PO BOX 4037 PORTLAND, OR 97208
Mailing Phone
(503) 413-4048
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-25-2006
Last Update Date
01-20-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Unit

Taxonomy Code
273R00000X
Type
Hospital Units
License No.
14-0027
License State
OR
Taxonomy Description
In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - EPO
  • BridgeSpan Standard Gold Plan - EPO
  • BridgeSpan Standard Silver Plan - EPO
  • Bronze 8000 Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
  • Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy - EPO
  • Bronze HSA 7000 Individual Connect - EPO
  • Gold 2300 Individual Connect - EPO
  • Gold 2300 Legacy - EPO
  • Regence Standard Bronze Plan Individual Connect - EPO
  • Regence Standard Bronze Plan Legacy - EPO
  • Regence Standard Gold Plan Individual Connect - EPO
  • Regence Standard Gold Plan Legacy - EPO
  • Regence Standard Silver Plan Individual Connect - EPO
  • Regence Standard Silver Plan Legacy - EPO
  • Silver 6500 Individual Connect - EPO
  • Silver 6500 Legacy - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SARAH JENSEN

Authorized Official Title
INTERIM CFO
Authorized Official Phone
(503) 415-5145

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
077404MEDICAID (05)OR 
2010683MEDICAID (05)WA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1336162874, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
3
Doubled → 6
Pos 4
6
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 1 → 2 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 6 + 6 + 2 + 6 + 4 + 8 + 1 + 4 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1336162874.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Radiation Oncology)
1015 NW 22ND AVE, LL50
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, R200
PORTLAND, OR 97210
Psychiatry & Neurology (Psychiatry)
1015 NW 22ND AVE, NORTHRUP #33
PORTLAND, OR 97210
Internal Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Hospitalist
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T-240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1015 NW 22ND AVE, LEGACY PORTLAND HOSPITALS
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE, STE T240
PORTLAND, OR 97210
Radiology (Diagnostic Radiology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Pathology (Anatomic Pathology & Clinical Pathology)
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210
Emergency Medicine
1015 NW 22ND AVE
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336162874, enumerated as an "organization" on July 25, 2006.

The provider is located at 1015 NW 22ND AVE PORTLAND, OR 97210 and the phone number is (503) 413-4848.

Psychiatric Unit with taxonomy code 273R00000X.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.