Legacy Good Samaritan Hospital and Medical Center

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP-0001427-CS Issued in OR

Legal business name

LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER

Practice address

1040 NW 22ND Ave
Suite 100
Portland, OR 97210-3057

Phone

(503) 413-8122

NPI assigned

Jul 20, 2006

Last updated

Jan 20, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LEGACY GOOD SAMARITAN HOSPITAL AND MEDICALAs reported in NPPES

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

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Legacy Good Samaritan Hospital and Medical Center

  dba Legacy Good Samaritan Providers

  • Clinic/Center
  • Portland, OR
  • NPI 1679597108

  0547179939

  Same PAC ID
• Legacy Good Samaritan Hospital and Medical Center

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1780608216

  0547179939

  Same PAC ID
• Legacy Good Samaritan Hospital and Medical Center

  • Rehabilitation Hospital Unit
  • Portland, OR
  • NPI 1942223482

  0547179939

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Good Samaritan Medical

Locations

Practitioners 431

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.

• Nicholas James Abbott, M.D.

  • Cardiovascular Disease Physician
  • Tualatin, OR
  • NPI 1124319330
  NPD
• Allison Lynn Abraham, D.O.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1831488444
  NPD
• Blake Vance Acohido, M.D.

  • Ophthalmology Physician
  • Portland, OR
  • NPI 1518100734
  NPD
• Merrill Marshall Ahrens, MD

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1194839225
  NPD
• Elizabeth Ann Alston

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1205348539
  NPD
• George A Anadiotis, DO

  • Ph.D. Medical Genetics Physician
  • Portland, OR
  • NPI 1992766695
  NPD
• Kimberly L Anchell, PA-C

  • Medical Physician Assistant
  • Saint Helens, OR
  • NPI 1134166911
  NPD
• Jennifer R Antick, PHD

  • Clinical Psychologist
  • Portland, OR
  • NPI 1285626507
  NPD
• Brooke E Arias, PA

  • Medical Physician Assistant
  • Portland, OR
  • NPI 1790085256
  NPD
• Stefanie B Avery, FNP-C

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1144570508
  NPD
• Moses Azubuike, M.D

  • Vascular & Interventional Radiology Physician
  • Portland, OR
  • NPI 1700232105
  NPD
• Aman Bagla, D.O.

  • Internal Medicine Physician
  • Portland, OR
  • NPI 1467771188
  NPD

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1609896174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 NW 22ND AVE",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97210",
            "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": "1040 NW 22ND AVE",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103057",
            "telephone_number": "503-413-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL",
        "enumeration_date": "2006-07-20",
        "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": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0001427-CS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3806051",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Legacy Emanuel Hospital and Health Center (Legacy Emanuel Hospital PBB)
• Legacy Emanuel Hospital and Health Center (Unity center for Behavioral Health)
• Legacy Good Samaritan Hospital and Medical Center (Legacy Good Samaritan Hospital DPP)
• Legacy Good Samaritan Hospital and Medical Center
• Legacy Good Samaritan Hospital and Medical Center
• Legacy Good Samaritan Hospital and Medical Center (Legacy Good Samaritan Providers)
• Legacy Good Samaritan Hospital and Medical Center
• Legacy Good Samaritan Hospital and Medical Center
• Legacy Health
• Legacy Health System

• Community/Retail Pharmacy in Portland, OR
• Providers in Portland, OR by specialty
• Community/Retail Pharmacy in Oregon

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.