LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER
NPI 1679597108
Clinic/Center in Portland, OR

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

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since July 27, 2006

1200 NW 23RD AVE, PORTLAND, OR 97210(503) 413-7074 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 20, 2026, May 12, 2025, Feb 27, 2018 and 2 more (5 updates tracked since 2017).

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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 1679597108), doing business as Legacy Good Samaritan Providers, is a healthcare organization registered as a clinic/center 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

NPI1679597108

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameLEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

Location Address1200 NW 23RD AVEPortland, OR 97210-2906

Mailing AddressPo Box 3808Portland, OR 97208-3808 · (503) 413-3900 · Fax (503) 413-3710

Phone(503) 413-7074

Organization SubpartYes

Authorized OfficialSarah JensenVp Finance · (503) 415-5145

Enumeration DateJuly 27, 2006

Last NPPES UpdateJanuary 20, 20265 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2026

✔ NPI 1679597108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

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).

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

1200 NW 23RD AVE, Portland, OR 97210

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Other Names 1

Doing Business AsLegacy Good Samaritan Providers

Other Identifiers 6

Medicaid1016129WA

Other007002000OR · Regence Blue Cross

Medicaid226827OR

Other002868000OR · Regence Blue Cross

Medicaid135199OR

OtherCK6664OR · Medicare Railroad

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 BridgeSpan Health Company, Moda Health Plan, Inc., Providence Health Plan and more.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 Good Samaritan Hospital And Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

386

Medicare enrollment records show 386 clinicians reassign Medicare billing to Legacy Good Samaritan Hospital And Medical Center, which bills Medicare for the services they deliver. Of these, 11 practice at this address and 235 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 45

Internal Medicine57

Cardiovascular Disease (Cardiology)43

Nurse Practitioner32

Ophthalmology26

Emergency Medicine24

Family Practice24

Interventional Radiology15

Pulmonary Disease15

37 other specialties150

Nearest to this location (20)

See all 386

Allison Abraham, D.O.

Internal Medicine

NPI 1831488444

1200 NW 23RD AVE
Portland, OR 97210

(503) 413-8407