LEGACY MOUNT HOOD PROVIDERS
NPI 1386919132
Clinic/Center in Gresham, OR

Active since March 13, 2012
24800 SE STARK ST, GRESHAM, OR 97030(503) 413-5089(503) 413-1860 Get Directions Write a Review

NPPES record last updated: April 2, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Clinic/Center
  • Accepts Insurance

About LEGACY MOUNT HOOD PROVIDERS

This page provides the complete NPI Profile along with additional information for Legacy Mount Hood Providers, a provider established in Gresham, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1386919132 assigned on March 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Legacy Mount Hood Providers. The authorized official of this NPI record is Linda Hoff (Senior Vp And Cfo)

NPI
1386919132 Verify this NPI
Provider Legal Name
LEGACY MOUNT HOOD MEDICAL CENTER
Other Organization Name
LEGACY MOUNT HOOD PROVIDERS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24800 SE STARK ST GRESHAM, OR 97030
Location Phone
(503) 413-5089
Location Fax
(503) 413-1860
Mailing Address
PO BOX 4365 PORTLAND, OR 97208
Mailing Phone
(503) 413-3958
Mailing Fax
(503) 413-3212
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-13-2012
Last Update Date
04-02-2015
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Location Map

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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
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).

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
  • Moda Health Affinity Bronze 8000 - EPO
  • Moda Health Affinity Bronze 9000 - EPO
  • Moda Health Affinity Bronze HDHP 7500 - EPO
  • Moda Health Affinity Gold 1000 - EPO
  • Moda Health Affinity Gold 1500 - EPO
  • Moda Health Affinity Gold 250 - EPO
  • Moda Health Affinity Silver 3000 - EPO
  • Moda Health Affinity Silver 3400 - EPO
  • Moda Health Affinity Silver 4500 - EPO
  • Moda Health Affinity Silver 6000 - EPO
  • Moda Health Oregon Standard Bronze Affinity - EPO
  • Moda Health Oregon Standard Gold Affinity - EPO
  • Moda Health Oregon Standard Silver Affinity - 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

LINDA HOFF

Authorized Official Title
SENIOR VP AND CFO
Authorized Official Phone
(503) 415-5730

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
R0000ZBBSXMEDICARE PIN (08)OR 

Reviews for LEGACY MOUNT HOOD PROVIDERS

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Other Providers at the Same Location


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

Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Hospitalist
24800 SE STARK ST
GRESHAM, OR 97030
Internal Medicine
24800 SE STARK ST, MOUNT HOOD HOSPITAL
GRESHAM, OR 97030
Internal Medicine (Critical Care Medicine)
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Physical Therapist
24800 SE STARK ST
GRESHAM, OR 97030
Pathology (Anatomic Pathology & Clinical Pathology)
24800 SE STARK ST, MOUNT HOOD MEDICAL CENTER, LABORATORY
GRESHAM, OR 97030
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Pharmacist
24800 SE STARK ST
GRESHAM, OR 97030
Lactation Consultant, Non-RN
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST, LEGACY MT. HOOD MEDICAL CENTER, EMERGENCY MEDICINE
GRESHAM, OR 97030
Pharmacist
24800 SE STARK ST
GRESHAM, OR 97030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386919132, enumerated as an "organization" on March 13, 2012.

The provider is located at 24800 SE STARK ST GRESHAM, OR 97030 and the phone number is (503) 413-5089.

Clinic/Center with taxonomy code 261Q00000X.

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