LEGACY CLINICS LLC
NPI 1902827272
Clinic/Center in Portland, OR

NPI Status: Active since July 22, 2006

Contact Information

1130 NW 22ND AVE STE 220
PORTLAND, OR
ZIP 97210
Phone: (503) 413-2901

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  • Organization
  • Clinic/Center
  • Accepts Insurance
  • CLIA Number: 38D1003327
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 08-26-2026

About LEGACY CLINICS LLC

This page provides the complete NPI Profile along with additional information for Legacy Clinics Llc, a provider established in Portland, Oregon operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1902827272 assigned on July 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated January 2026. Legacy Clinics Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Sarah Jensen (Vp Finance)

NPI
1902827272
Provider Name
LEGACY CLINICS LLC
Entity Type
Organization
Location Address
1130 NW 22ND AVE STE 220 PORTLAND, OR 97210
Location Phone
(503) 413-2901
Mailing Address
PO BOX 3777 PORTLAND, OR 97208
Mailing Phone
(503) 413-3900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-22-2006
Last Update Date
01-20-2026
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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).

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1176B00000XOther Service Providers

Midwife

 
2207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
3207QG0300XAllopathic & Osteopathic Physicians

Family Medicine
Geriatric Medicine

 
4207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
5207RC0200XAllopathic & Osteopathic Physicians

Internal Medicine
Critical Care Medicine

 
6207T00000XAllopathic & Osteopathic Physicians

Neurological Surgery

 
7207VM0101XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Maternal & Fetal Medicine

 
8207VX0000XAllopathic & Osteopathic Physicians

Obstetrics & Gynecology
Obstetrics

 
9207X00000XAllopathic & Osteopathic Physicians

Orthopaedic Surgery

 
102085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

 
112086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 
12208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 
13261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
14261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

698327-81 (OR)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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
  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • HSA Qualified 7500 Bronze - Choice Network - EPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Choice Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Choice Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Choice Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - 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

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.

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
VP FINANCE
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
227692MEDICAID (05)OR 
9646449MEDICAID (05)WA 
286717MEDICAID (05)OR 
227592MEDICAID (05)OR 
277799MEDICAID (05)OR 
134334MEDICAID (05)OR 
277776MEDICAID (05)OR 
286482MEDICAID (05)OR 
286709MEDICAID (05)OR 
7098429MEDICAID (05)WA 
7130628MEDICAID (05)WA 
022930MEDICAID (05)OR 
226982MEDICAID (05)OR 
286822MEDICAID (05)OR 
7101124MEDICAID (05)WA 
804702000OTHER (01)ORREGENCE BLUE CROSS

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Dxa bone density measurement of hip, pelvis, spine

A DXA bone density measurement is a simple, quick, and non-invasive procedure that assesses the strength of your bones. This test uses X-rays to measure the amount of minerals, mainly calcium, in the hip, pelvis, and spine. It helps in early detection of osteoporosis or other bone diseases.

This service was performed 136 times for 136 patients

Screening 3d breast mammography

Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.

This service was performed 226 times for 226 patients

Screening mammography

Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.

This service was performed 226 times for 226 patients

X-ray of ankle, minimum of 3 views

An ankle X-ray is a quick, painless imaging test. It involves capturing at least three different images or 'views' of your ankle using small amounts of radiation. These images help identify any abnormalities or injuries, such as fractures or arthritis.

This service was performed 18 times for 16 patients

X-ray of chest, 2 views

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

This service was performed 160 times for 142 patients

X-ray of foot, minimum of 3 views

An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.

This service was performed 21 times for 19 patients

X-ray of hand, minimum of 3 views

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

This service was performed 23 times for 19 patients

X-ray of hip, 2-3 views

An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.

This service was performed 38 times for 38 patients

X-ray of knee, 3 views

An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.

This service was performed 13 times for 11 patients

X-ray of knee, 4 or more views

An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.

This service was performed 38 times for 35 patients

X-ray of lower and sacral spine, 2-3 views

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

This service was performed 43 times for 43 patients

X-ray of middle spine, 3 views

An X-ray of the middle spine, with 3 views, is a diagnostic procedure where images are taken from different angles (front, side, and angled) to assess the health of your spine. It helps identify issues like fractures, tumors, or degenerative conditions.

This service was performed 13 times for 13 patients

X-ray of ribs on side of body, minimum of 3 views

This is a diagnostic procedure where a machine emits a small amount of radiation to capture images of your ribs from at least three different angles. It helps to identify issues like fractures or infections. It's a quick, painless process.

This service was performed 15 times for 15 patients

X-ray of shoulder, minimum of 2 views

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

This service was performed 36 times for 32 patients

X-ray of upper spine, 2-3 views

An X-ray of the upper spine, with 2-3 views, is a painless procedure that employs a small amount of radiation to capture images of your neck and upper back. It assists in diagnosing conditions like arthritis, fractures, or spinal deformities.

This service was performed 21 times for 20 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
38D1003327
Facility Type
Community Clinic
Certificate Effective Date
August 27, 2024
Certificate Expiration Date
August 26, 2026
Laboratory Director
JAMES P. BORDEN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Legacy Clinics Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1902827272, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
2
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
2
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
2
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 0 → 0 8 → 16 → 7 7 → 14 → 5 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 1 + 6 + 2 + 1 + 4 + 2 + 1 + 4 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1902827272.

Other Providers at the Same Location


The following 16 providers are registered at the same or a nearby location.

Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine (Hospice and Palliative Medicine)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Pharmacist (Ambulatory Care)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Social Worker (Clinical)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Social Worker (Clinical)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine (Critical Care Medicine)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Nurse Practitioner (Family)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Internal Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Family Medicine
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Community Health Worker
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210
Nurse Practitioner (Family)
1130 NW 22ND AVE STE 220
PORTLAND, OR 97210

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902827272, enumerated as an "organization" on July 22, 2006.

The provider is located at 1130 NW 22ND AVE STE 220 PORTLAND, OR 97210 and the phone number is (503) 413-2901.

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.