NPIMap

Organization Active NPI

Legacy Emanuel Hospital & Health Center

Doing business as Legacy Laboratory Services

  • Clinical Medical Laboratory
  • Portland, OR
National Provider Identifier
1295756898
Registry record updated Feb 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
14-0056 Issued in OR
Legal business name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Doing business as
Legacy Laboratory Services
Practice address
1225 NE 2ND Ave
Portland, OR 97232-2003
Phone
(503) 413-5050
NPI assigned
Jul 21, 2006
Last updated
Feb 17, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
LEGACY EMANUEL HOSPITAL AND HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Linda S Hoff
Title
Sr VP and Cfo
Phone
(503) 415-5730

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 14-0056 OR Primary

Addresses

Primary practice location

1225 NE 2ND Ave
Portland, OR 97232-2003

Mailing address

PO Box 5337
Portland, OR 97228-5337
Phone (503) 413-3958

Other identifiers 3

IdentifierTypeStateIssuer
7106404MedicaidWA
69002013OtherORRAILROAD
055103MedicaidOR

Other names 1

  • Legacy Laboratory Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295756898. Details of each certification follow.

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
CorporationNon-profit
Incorporated
Feb 3, 1912 in OR
Enrollment address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Main/Primary Hospital Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Legacy Emanuel Medical CenterCCN 380007 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Victoria F Carvalho MD

Locations

195 W Legion Rd
Brawley, CA 92227
Phone (760) 344-3754

10921 Wilshire Blvd
Ste 900
Los Angeles, CA 90024
Phone (310) 208-3937

1162 Montgomery Dr
Ste 2
Santa Rosa, CA 95405
Phone (707) 890-4100

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph H Frankhouse Individual Corporate DirectorBoard Member Jun 1, 2023
Jack Friedman Individual Corporate DirectorBoard Member Jun 1, 2018
Edgar Navas Individual Corporate DirectorBoard Member Jun 1, 2020
Richard P Reiten Individual Corporate DirectorBoard Member Jul 25, 2013
Jerry Petty Individual Corporate DirectorBoard Member Jun 1, 2018
Charles Wilhoite Individual Corporate OfficerChair Jun 1, 2018
Nancy Locke Individual Corporate DirectorBoard Member Jun 1, 2016
Leslie Root Individual Corporate DirectorBoard Member Jan 1, 2012
Legacy Health Organization, Portland, OR Operational/Managerial Control Nov 14, 1970
Nancy Horton Individual Corporate DirectorBoard Member Jun 1, 2019
Craig Armstrong Individual Corporate OfficerSecretary Sep 1, 2023
Teresa L Handy Individual W-2 Managing EmployeeVP Revenue Cycle Mar 2, 2012
Lynn T Gust Individual Corporate DirectorBoard Member Jun 1, 2017
George Joseph Brown Individual Corporate OfficerBoard President Jun 10, 2024
Raymond Costantini Individual Corporate DirectorBoard Member Nov 21, 2025
Gabriel Goddard Individual Corporate DirectorBoard Director Nov 21, 2025
Gayle Goschie Individual Corporate DirectorBoard Member Jun 1, 2016
Lisa Freedman Individual Corporate DirectorBoard Member Jun 1, 2019
Marcus Mundy Individual Corporate DirectorBoard Member Nov 21, 2025
Nathalie Johnson Individual Corporate DirectorBoard Member Jun 1, 2023
Nasreen a Ilias-Khan Individual Corporate DirectorBoard Member May 15, 2021
David Ramus Individual Corporate OfficerVice Chair May 15, 2014
Sarah Jensen Individual W-2 Managing EmployeeVP Finance Oct 1, 2015
Carolyn Coggins Individual Corporate OfficerTreasurer Sep 22, 2025

Owners & managing parties with NPI records 4

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 19

Affiliated clinicians 657

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 657

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1295756898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5337",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972285337",
            "telephone_number": "503-413-3958",
            "fax_number": "503-413-3212"
        },
        {
            "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": "972322003",
            "telephone_number": "503-413-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY EMANUEL HOSPITAL AND HEALTH CENTER",
        "enumeration_date": "2006-07-21",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "HOFF",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SR VP AND CFO",
        "authorized_official_telephone_number": "503-415-5730"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "OR",
            "license": "14-0056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106404",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "69002013",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055103",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Laboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.