LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
NPI 1609896174
Pharmacy - Community/Retail Pharmacy in Portland, OR

Q: What is Legacy Good Samaritan Hospital And Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Active since July 20, 2006

1040 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210(503) 413-8122 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2026, Jan 10, 2018, Mar 15, 2017 and 2 more (5 updates tracked since 2016).

On this page

About Legacy Good Samaritan Hospital And Medical Center NPPES

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

LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER (NPI 1609896174) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since July 2006. The organization lists Sarah Jensen, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1609896174

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameLEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

Location Address1040 NW 22ND AVE, SUITE 100Portland, OR 97210-3057

Mailing Address1040 Nw 22nd Ave, Suite 100Portland, OR 97210 · (503) 413-4048 · Fax (503) 413-4449

Phone(503) 413-8122

Organization SubpartYesParent: Legacy Good Samaritan Hospital And Medical

Authorized OfficialSarah JensenVp Finance · (503) 415-5145

Enumeration DateJuly 20, 2006

Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1609896174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in OR · RP-0001427-CS

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

1040 NW 22ND AVE, Portland, OR 97210

Open in Google Maps ↗

Other Identifiers 1

Other3806051OR · Ncpdp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Legacy Good Samaritan Apothecary carries, from the Medicare DMEPOS supplier directory.

Legacy Good Samaritan Apothecary

DMEPOS supplier · Portland, OROperated by Legacy Good Samaritan Hospital And Medical Center

✔

Accepts Medicare assignment

Legacy Good Samaritan Apothecary agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20452955

Medicare Participant SinceOctober 25, 2018

Supplier Location1040 NW 22nd Ave Ste 100Portland, OR 97210

Phone(503) 413-8122

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Infusion Drugs

Nebulizer Drugs

Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Inpatient Rehabilitation Quality CMS Care Compare

Quality measures, patient outcomes and conditions treated for Legacy Good Samaritan Hosp & Med Ctr (CMS certification number 38T017), from CMS Care Compare.

Legacy Good Samaritan Hosp & Med Ctr

Inpatient rehabilitation facility · Portland, OR

OwnershipNon-profit

CMS Certification Number38T017

Medicare-Certified SinceJuly 1, 1984

Location1015 NW 22nd Avenue Legacy Good Samaritan Med CtrPortland, OR 97210

Phone(503) 413-6477

Rehabilitation unit within a hospital

Conditions Treated

Medicare patient stays by the condition that brought the patient to rehabilitation

Stroke

204

patient stays

Brain disease or condition (non-traumatic)

patient stays

Spinal cord disease or condition (non-traumatic)

patient stays

Hip or knee replacement, amputation or other bone or joint condition

patient stays

Brain injury (traumatic)

patient stays

Nervous system disorder (excluding stroke)

patient stays

Hip or femur fracture

Less than 11 patient stays

Spinal cord injury (traumatic)

Less than 11 patient stays

All other conditions

patient stays

Counts reflect Medicare patient stays reported to CMS. CMS reports counts under 11 as "Less than 11" to protect patient privacy.

Quality Measures

Medications reviewed, with follow-up when issues were found

Drug Regimen Review · 329 patient stays

97.9%

Patients given a current list of their medications at discharge

Transfer of Health Information to the Patient · 165 patient stays

97.6%

Medication list sent to the next provider at discharge

Transfer of Health Information to the Provider · 164 patient stays

100%

Patients who meet or exceed the self-care ability expected for their condition at discharge

Discharge Self-Care Score · 295 patient stays

31.9%

Patients who meet or exceed the mobility expected for their condition at discharge

Discharge Mobility Score · 295 patient stays

25.8%

Patients who meet or exceed the overall function expected at discharge

Discharge Function Score · 295 patient stays

31.53%

Patients who experienced one or more falls with major injury during their stay

329 patient stays · Lower rates are better for this measure.

0.3%

Patients with pressure ulcers or injuries that are new or worsened

Risk-adjusted rate · 329 patient stays · observed rate 0.9% · Lower rates are better for this measure.

0.9%

Healthcare workers given the influenza vaccine

57 healthcare workers

89.5%

Healthcare workers up to date on COVID-19 vaccination

86 healthcare workers

89.5%

Clostridioides difficile (C. diff) infections

1 observed infections · 4.504 predicted · 8,729 patient days

0.222

standardized infection ratio

No Different than the National Benchmark

Measures are reported under the CMS Inpatient Rehabilitation Facility Quality Reporting Program. Reporting periods vary by measure (October 2021 to December 2023). Measures without current CMS data are not shown.

Discharge, Readmission & Medicare Spending

Patients discharged to home or the community

159 of 195 patient stays · observed rate 81.54%

75.98%

risk-standardized rate

Better than the National Rate

Potentially preventable readmissions within 30 days after discharge

8 readmissions of 191 patient stays · observed rate 4.19% · Lower rates are better for this measure.

8.4%

risk-standardized rate

No Different than the National Rate

Potentially preventable readmissions during the rehabilitation stay

1 readmissions of 199 patient stays · observed rate 0.5% · Lower rates are better for this measure.

3.63%

risk-standardized rate

No Different than the National Rate

Medicare spending per episode of care

1.00 = national average per episode of care · based on 169 episodes

0.80

spending ratio

Risk-standardized rates account for differences in patient condition mix. Comparison labels are assigned by CMS.

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.

PACIFIC HEART ASSOCIATES, P.C.

Specialist

1040 NW 22ND AVE, SUITE 660
PORTLAND, OR 97210

Multnomah County (503) 790-1234

DR. GARY ALLEN WARD M.D.

Physical Medicine & Rehabilitation

1040 NW 22ND AVE, SUITE 320
PORTLAND, OR 97210

Multnomah County (503) 413-6294

MYRON D. SMITH

Audiologist

1040 NW 22ND AVE, SUITE 460
PORTLAND, OR 97210

Multnomah County (503) 413-8154

DR. ALIZAH RABIN ROTRAMEL M.D.

Colon & Rectal Surgery

1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210

Multnomah County (503) 413-5525

RAYLENE DIANNE COLEMAN RN, ANP

Nurse Practitioner (Adult Health)

1040 NW 22ND AVE, SUITE 420
PORTLAND, OR 97210

Multnomah County (503) 229-7647

MR. PATRICK STEVEN SAWYER PA-C

Physician Assistant (Surgical)

1040 NW 22ND AVE, SUITE 500
PORTLAND, OR 97210

Multnomah County (503) 227-5050

NW SURGICAL ONCOLOGY PC

Surgery (Surgical Oncology)

1040 NW 22ND AVE, SUITE 540
PORTLAND, OR 97210

Multnomah County (503) 517-9030

DR. MARTA PAZOS LOPEZ MD

Student in an Organized Health Care Education/Training Program

1040 NW 22ND AVE, SUITE 200
PORTLAND, OR 97210

Multnomah County (503) 413-8202

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 Good Samaritan Hospital And Medical Center's NPI number?

The NPI number for Legacy Good Samaritan Hospital And Medical Center is 1609896174. It was assigned to this organization in the NPPES registry on July 20, 2006.

Where is Legacy Good Samaritan Hospital And Medical Center located?

Legacy Good Samaritan Hospital And Medical Center is located at 1040 NW 22nd Ave Suite 100, Portland, OR 97210. The listed phone number is (503) 413-8122.

What is Legacy Good Samaritan Hospital And Medical Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Legacy Good Samaritan Hospital And Medical Center accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Legacy Good Samaritan Apothecary accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Is Legacy Good Samaritan Hospital And Medical Center a Medicare-certified inpatient rehabilitation facility?

Yes. Legacy Good Samaritan Hosp & Med Ctr is a Medicare-certified inpatient rehabilitation facility (CMS certification number 38T017), certified since July 1, 1984.

What insurance does Legacy Good Samaritan Hospital And Medical Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 48 other insurers list Legacy Good Samaritan Hospital And 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 Good Samaritan Hospital And Medical Center 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 6 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.