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

Active since July 22, 2006
1130 NW 22ND AVE STE 220, PORTLAND, OR 97210(503) 413-2901 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, Dec 22, 2022 and 1 more (4 updates tracked since 2018).

About Legacy Clinics Llc NPPES

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

LEGACY CLINICS LLC (NPI 1902827272) 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

NPI1902827272
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameLEGACY CLINICS LLC
Location Address1130 NW 22ND AVE STE 220Portland, OR 97210-2969
Mailing AddressPo Box 3777Portland, OR 97208-3777 · (503) 413-3900
Phone(503) 413-2901
Organization SubpartNo
Authorized OfficialSarah JensenVp Finance · (503) 415-5145
Enumeration DateJuly 22, 2006
Last NPPES UpdateJanuary 20, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1902827272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ 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 ListedMidwifeTaxonomy 176B00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedNeurological SurgeryTaxonomy 207T00000X
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License 698327-81 (OR)
1130 NW 22ND AVE STE 220, Portland, OR 97210
Open in Google Maps ↗

Other Identifiers 16

Medicaid227692OR
Medicaid9646449WA
Medicaid286717OR
Medicaid227592OR
Medicaid277799OR
Medicaid134334OR
Medicaid277776OR
Medicaid286482OR
Medicaid286709OR
Medicaid7098429WA
Medicaid7130628WA
Medicaid022930OR
Medicaid226982OR
Medicaid286822OR
Medicaid7101124WA
Other804702000OR · Regence Blue Cross

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans 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 Clinics Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

1,256

Medicare enrollment records show 1,256 clinicians reassign Medicare billing to Legacy Clinics LLC, which bills Medicare for the services they deliver. Of these, 50 practice at this address and 533 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 50

Internal Medicine254
Neurology193
Nurse Practitioner179
Obstetrics/Gynecology83
Family Practice62
Cardiovascular Disease (Cardiology)50
Certified Nurse Midwife (CNM)49
Psychiatry41
42 other specialties345

Nearest to this location (20)

See all 1,256
Rebecca Ames
Nurse Practitioner
NPI 1053294041
1130 NW 22ND AVE STE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Daniela Goldenberg, MD
Internal Medicine
NPI 1962463836
1130 NW 22ND AVE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Peter Hoffman, MD
Family Practice
NPI 1952324139
1130 NW 22ND AVE STE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Wan Xing Hong
General Surgery
NPI 1295199867
1130 NW 22ND AVE STE 500
Portland, OR 97210
(503) 413-5725
✔ PECOS✔ Accepts MedicareSame address
Yen-Yi Juo, M.D.
General Surgery
NPI 1982049664
1130 NW 22ND AVE STE 500
Portland, OR 97210
(503) 413-5725
✔ PECOS✔ Accepts MedicareSame address
Jonathan Cook, MD
Obstetrics/Gynecology
NPI 1417163510
1130 NW 22ND AVE STE 520
Portland, OR 97210
(503) 274-4800
✔ PECOS✔ Accepts MedicareSame address
Erich Meihoff, MD
Internal Medicine
NPI 1144295916
1130 NW 22ND AVE SUITE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Marina Partridge, APRN
Nurse Practitioner
NPI 1316716756
1130 NW 22ND AVE STE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Melissa Pendergrass, M.D.
Obstetrics/Gynecology
NPI 1649463118
1130 NW 22ND AVE STE 120
Portland, OR 97210
(503) 413-7353
✔ PECOS✔ Accepts MedicareSame address
James Shoemaker, LCSW
Clinical Social Worker
NPI 1083337257
1130 NW 22ND AVE STE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Edward Dyer, MD
Critical Care (Intensivists)
NPI 1760601694
1130 NW 22ND AVE STE 220
Portland, OR 97210
(503) 413-8988
✔ PECOS✔ Accepts MedicareSame address
Andrew Kee, M.D.
Radiation Oncology
NPI 1043299217
1130 NW 22ND AVE STE LL50
Portland, OR 97210
(503) 413-7135
✔ PECOS✔ Accepts MedicareSame address
Shane Kim, MD
Plastic and Reconstructive Surgery
NPI 1871623678
1130 NW 22ND AVE STE 420
Portland, OR 97210
(503) 413-4992
✔ PECOS✔ Accepts MedicareSame address
Gina Westhoff, MD
Gynecological Oncology
NPI 1598927261
1130 NW 22ND AVE SUITE 110
Portland, OR 97210
(503) 413-8654
✔ PECOS✔ Accepts MedicareSame address
Amit Ayer, M.D.
Neurosurgery
NPI 1841638293
1040 NW 22ND AVE STE 420
Portland, OR 97210
(503) 944-6300
✔ PECOS✔ Accepts MedicareSame address
Nicholas Calvo, M.D.
Neurology
NPI 1972958593
1040 NW 22ND AVE STE 420
Portland, OR 97210
(503) 413-6166
✔ PECOS✔ Accepts MedicareSame address
Hilary Gallowaylong, PHD
Clinical Psychologist
NPI 1760991301
1040 NW 22ND AVE
Portland, OR 97210
(503) 413-6868
✔ PECOS✔ Accepts MedicareSame address
Daniel Henery, DO
Cardiovascular Disease (Cardiology)
NPI 1932606407
1040 NW 22ND AVE STE 660
Portland, OR 97210
(503) 413-7162
✔ PECOS✔ Accepts MedicareSame address
Jane Luu, MD
Interventional Cardiology
NPI 1124281423
1040 NW 22ND AVE STE 660
Portland, OR 97210
(503) 413-7162
✔ PECOS✔ Accepts MedicareSame address
Audrey Tarr, MD
Female Pelvic&reconstruction Surgery
NPI 1922110972
1040 NW 22ND AVE, SUITE 600
Portland, OR 97210
(503) 413-5787
✔ PECOSSame address
See all 1,256 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 18

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Screening 3d breast mammography 77063
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.
239 services239 patients
Screening mammography 77067
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.
239 services239 patients
X-ray of chest, 2 views 71046
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.
166 services150 patients
Dxa bone density measurement of hip, pelvis, spine 77080
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.
152 services152 patients
X-ray of lower and sacral spine, 2-3 views 72100
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.
62 services61 patients
X-ray of shoulder, minimum of 2 views 73030
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.
51 services45 patients

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 Clinics LLC's NPI number?

The NPI number for Legacy Clinics LLC is 1902827272. It was assigned to this organization in the NPPES registry on July 22, 2006.

Where is Legacy Clinics LLC located?

Legacy Clinics LLC is located at 1130 NW 22nd Ave Ste 220, Portland, OR 97210. The listed phone number is (503) 413-2901.

What is Legacy Clinics LLC's specialty?

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

Is Legacy Clinics LLC enrolled in Medicare?

Yes. Legacy Clinics LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Legacy Clinics LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1,256 clinicians in 50 Medicare specialties reassign their Medicare billing to Legacy Clinics LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (254), Neurology (193) and Nurse Practitioner (179). Of these, 50 practice at this address and 533 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Legacy Clinics LLC accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Legacy Clinics LLC 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 Clinics LLC 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 9 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.