Active NPI
Legacy Meridian Park Hospital
Doing business as Legacy Meridian Park Hospital Pharmacy
- Community/Retail Pharmacy
- Tualatin, OR
National Provider Identifier
1689694150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- RP-0000864-CS
- Legal business name
- LEGACY MERIDIAN PARK HOSPITAL
- Doing business as
- Legacy Meridian Park Hospital Pharmacy
- Practice address
- 19300 SW 65TH Ave
Tualatin, OR 97062-7706 - Phone
- (503) 692-2662
- NPI assigned
- Jul 20, 2006
- Organization subpart
- Yes
- Parent organization
- LEGACY MERIDIAN PARK HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | RP-0000864-CS | OR | Primary |
Addresses
Primary practice location
19300 SW 65TH Ave
Tualatin, OR 97062-7706
Mailing address
PO Box 4037
Portland, OR 97208-4037
Phone (503) 413-4048
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810567 | Other | OR | NCPDP |
Other names 1
- Legacy Meridian Park Hospital Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Legacy Meridian Park Hospital
- Part of
- Legacy Meridian Park Hospital
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Children's Rehabilitation Hospital
- Tualatin, OR
- NPI 1801122593
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.
-
- General Acute Care Hospital
- Tualatin, OR
- NPI 1184647620
NPI Registry JSON
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": "1689694150",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19300 SW 65TH AVE",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970627706",
"telephone_number": "503-692-2662"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEGACY MERIDIAN PARK HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LEGACY MERIDIAN PARK HOSPITAL",
"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-0000864-CS",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3810567",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legacy Meridian Park Hospital Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tualatin, OR
- Christina Lee, M.D.
- Sarah Chungmi Lee
- Legacy Meridan Park Hospital (Meridian Park Medical Center Community Pharmacy)
- Legacy Meridian Park Hospital
- Legacy Meridian Park Hospital
- Legacy Meridian Park Pediatric Rehab
- Legacy Visiting Nurse Association (Legacy Hospice Services)
- Gregory Lemay, OD
- Cheri Leng, M.D.
- Christen Leonard
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.