LEGACY MERIDIAN PARK PEDIATRIC REHAB
NPI 1801122593
Rehabilitation Hospital - Children in Tualatin, OR

Active since October 30, 2009
19250 SW 65TH AVE STE 125, TUALATIN, OR 97062(503) 413-4505 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Rehabilitation Hospital
  • Children
  • Accepts Insurance

About LEGACY MERIDIAN PARK PEDIATRIC REHAB

This page provides the complete NPI Profile along with additional information for Legacy Meridian Park Pediatric Rehab, a provider established in Tualatin, Oregon operating as a Rehabilitation Hospital, focusing in children . The healthcare provider is registered in the NPI registry with number 1801122593 assigned on October 2009. The practitioner's primary taxonomy code is 283XC2000X with license number 930618915 (OR). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Sarah Jensen Slp (Vp Finance)

NPI
1801122593 Verify this NPI
Provider Name
LEGACY MERIDIAN PARK PEDIATRIC REHAB
Entity Type
Organization
Location Address
19250 SW 65TH AVE STE 125 TUALATIN, OR 97062
Location Phone
(503) 413-4505
Mailing Address
PO BOX 6689 PORTLAND, OR 97228
Mailing Phone
(503) 413-3900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-30-2009
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

Rehabilitation Hospital Children

Taxonomy Code
283XC2000X
Type
Hospitals
License No.
930618915
License State
OR

Insurance Plans Accepted

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

  • 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

*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 SLP

Authorized Official Title
VP FINANCE
Authorized Official Phone
(503) 415-5145

Reviews for LEGACY MERIDIAN PARK PEDIATRIC REHAB

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Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Physical Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Physical Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Physical Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Speech-Language Pathologist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Speech-Language Pathologist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Physical Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Occupational Therapist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062
Speech-Language Pathologist
19250 SW 65TH AVE STE 125
TUALATIN, OR 97062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801122593, enumerated as an "organization" on October 30, 2009.

The provider is located at 19250 SW 65TH AVE STE 125 TUALATIN, OR 97062 and the phone number is (503) 413-4505.

Rehabilitation Hospital with taxonomy code 283XC2000X and a focus in Children.

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