NPIMap

Organization Active NPI

Legacy Salmon Creek Hospital

Doing business as Legacy Salmon Creek Hospital DPP

  • Clinic/Center
  • Vancouver, WA
National Provider Identifier
1538709803
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
LEGACY SALMON CREEK HOSPITAL
Doing business as
Legacy Salmon Creek Hospital DPP
Practice address
2101 NE 139TH St Ste 460
Vancouver, WA 98686-2325
Phone
(360) 487-2727
Fax
(360) 487-2729
NPI assigned
Jan 14, 2020
Organization subpart
Yes
Parent organization
LEGACY SALMON CREEK HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Sarah Jensen
Title
VP Finance
Phone
(503) 415-5145

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2101 NE 139TH St Ste 460
Vancouver, WA 98686-2325

Mailing address

PO Box 2077
Portland, OR 97208-2077
Phone (503) 413-3900

Other names 1

  • LEGACY SALMON CREEK HOSPITAL DPP Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190618001330 WA MDPP Supplier - in-Person MDPP Supplier 0446295711 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Vancouver, WA

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Legacy Salmon Creek Hospital5 organizations share this tax ID, including this one
Part of
Legacy Salmon Creek Hospital

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1538709803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2077",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972082077",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 NE 139TH ST STE 460",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862325",
            "telephone_number": "360-487-2727",
            "fax_number": "360-487-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY SALMON CREEK HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY SALMON CREEK HOSPITAL",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "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": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEGACY SALMON CREEK HOSPITAL DPP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.