Legacy Emanuel Hospital & Health Center
Organization Active NPI General Acute Care Hospital · Portland, OR
NPI 1003367491 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1003367491
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 14-0056 (OR)
- Legal business name
- LEGACY EMANUEL HOSPITAL & HEALTH CENTER
- Practice address
- 1225 NE 2ND Ave
Portland, OR 97232 - Phone
- (503) 944-8000
- Fax
- (503) 944-8001
- NPI assigned
- Oct 20, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Authorized official
- Name
- Sarah Jensen
- Title
- VP Finance
- Phone
- (503) 415-5145
Owners & managing parties with NPI records 4
-
Joseph H Frankhouse, M.D.
-
Nathalie George Johnson, M.D.
-
Leslie L Root, MD
-
Nasreen Ajmal Ilias-Khan, M.D.
Other NPIs on the same Medicare enrollment 6
Related certifications (CCN) 2
Practitioners 31
-
Peter Frederick Banitt, M.D.
-
Brian Matthew Blair, M.D.
-
Pradeep Chandan, DO
-
Emmanuel Dwomoh-Tweneboah, AGACNP
-
Alisha Floyd, MD
-
Hannah Jane Helms, LCSW
-
Jin-Hee Kim, MD
-
Manish Mehta, MD
-
Ariana Orzuna Perez, LPC
-
David S. Peizner, M.D.
-
Leslie L Root, MD
-
Eli A. Rosenthal, M.D.
-
Lina Rossetti-Grulich, AGACNP-BC
-
Avnish Tripathi, M.D., PH.D., M.P.H.
-
David Gerard Burger, M.D.
-
Rebecca Louise Corbett, D.O.
-
Steven James Gangloff, M.D.
-
Steven Lee Grund, M.D.
-
Robert William Murdock, D.O.
Affiliated clinicians 657
-
Nicholas James Abbott, M.D.
-
Allison Lynn Abraham, D.O.
-
Duna Alkhalaileh, DO
-
Melanie Anthony, FNP-C
-
Samantha Arcediano, PA-C
-
Brooke E Arias, PA
-
Cibi Arumugam, M.D.
-
Natasha Marie Avalon Gardner, PMHNP, DNP
-
Amit Bhasker Ayer, M.D.
-
Moses Azubuike, M.D
-
Aman Bagla, D.O.
-
Phillip D Baker, MD
-
Ronald Robert Barbosa, M.D.
-
Laura Barket, DO
-
Lydia Anne M Bartholow, PMHNP
-
Adam Randall Bartling, PA-C
Medicare Care Compare: Hospital
- Listed as
- Legacy Emanuel Medical Center
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 38D2122465 | Unity Center for Behavioral Health | Certificate of waiver | Nov 28, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OR
Hospital certification: CCN 380007
- Legal name
- LEGACY EMANUEL HOSPITAL & HEALTH CENTER
- Doing business as
- LEGACY EMANUEL MEDICAL CENTER
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Sep 5, 2025
- Beds
- 554
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- Feb 3, 1912 in OR
- Enrollment address
- 2801 N Gantenbein Ave
Portland, OR 97227-1623 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 24
| Name | Role | Since | Share |
|---|---|---|---|
| Joseph H Frankhouse |
Corporate Director |
Jun 1, 2023 | |
| Jack Friedman |
Corporate Director |
Jun 1, 2018 | |
| Edgar Navas |
Corporate Director |
Jun 1, 2020 | |
| Richard P Reiten |
Corporate Director |
Jul 25, 2013 | |
| Jerry Petty |
Corporate Director |
Jun 1, 2018 | |
| Charles Wilhoite |
Corporate Officer |
Jun 1, 2018 | |
| Nancy Locke |
Corporate Director |
Jun 1, 2016 | |
| Leslie Root |
Corporate Director |
Jan 1, 2012 | |
| Legacy Health |
Operational/Managerial Control | Nov 14, 1970 | |
| Nancy Horton |
Corporate Director |
Jun 1, 2019 | |
| Craig Armstrong |
Corporate Officer |
Sep 1, 2023 | |
| Teresa L Handy |
W-2 Managing Employee |
Mar 2, 2012 | |
| Lynn T Gust |
Corporate Director |
Jun 1, 2017 | |
| George Joseph Brown |
Corporate Officer |
Jun 10, 2024 | |
| Raymond Costantini |
Corporate Director |
Nov 21, 2025 | |
| Gabriel Goddard |
Corporate Director |
Nov 21, 2025 | |
| Gayle Goschie |
Corporate Director |
Jun 1, 2016 | |
| Lisa Freedman |
Corporate Director |
Jun 1, 2019 | |
| Marcus Mundy |
Corporate Director |
Nov 21, 2025 | |
| Nathalie Johnson |
Corporate Director |
Jun 1, 2023 | |
| Nasreen a Ilias-Khan |
Corporate Director |
May 15, 2021 | |
| David Ramus |
Corporate Officer |
May 15, 2014 | |
| Sarah Jensen |
W-2 Managing Employee |
Oct 1, 2015 | |
| Carolyn Coggins |
Corporate Officer |
Sep 22, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20030331000022 | OR | Part a Provider - Hospital | 4587573639 |
3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portland, OR |
| O20040127001204 | OR | Part B Supplier - Clinic/Group Practice | 4587573639 |
Receives reassigned benefits from 774 practitioners 5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Portland, OR; Tualatin, OR; St Helens, OR; Saint Helens, OR; Beaverton, OR |
National Provider Directory
- Part of
- Legacy Emanuel Psychiat
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 14-0056 | OR | Yes |
Addresses
Primary practice location
1225 NE 2ND Ave
Portland, OR 97232
Mailing address
PO Box 4037
Portland, OR 97208-4037
Phone (503) 413-4048
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500719855 | Medicaid | OR | |
| 2075088 | Medicaid | WA |
Other names
- Unity Center for Behavioral Health-PES
NPI Registry JSON
{
"created_epoch": "1476921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1003367491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4037",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972084037",
"telephone_number": "503-413-4048",
"fax_number": "503-413-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 NE 2ND AVE",
"city": "PORTLAND",
"state": "OR",
"postal_code": "97232",
"telephone_number": "503-944-8000",
"fax_number": "503-944-8001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
"enumeration_date": "2016-10-20",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "JENSEN",
"authorized_official_first_name": "SARAH",
"authorized_official_title_or_position": "VP FINANCE",
"authorized_official_telephone_number": "503-415-5145"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "OR",
"license": "14-0056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500719855",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2075088",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Unity Center for Behavioral Health-PES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, OR
- Anthony Todd Lefkowicz
- Kathy Louise Lefor
- Michael John Lefor
- Legacy Care LLC
- Legacy Clinics LLC
- Legacy Emanuel Hospital & Health Center
- Legacy Emanuel Hospital & Health Center
- Legacy Emanuel Hospital & Health Center
- Legacy Emanuel Hospital & Health Center
- Legacy Emanuel Hospital & Health Center
All providers in Portland, OR · General Acute Care Hospital in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.