NPIMap

Organization Active NPI

Legacy Clinics LLC

Doing business as Legacy Medical Group Firwood

  • Rural Health Clinic/Center
  • Sandy, OR
National Provider Identifier
1730472192
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
LEGACY CLINICS LLC
Doing business as
Legacy Medical Group Firwood
Practice address
36860 Industrial Way
Sandy, OR 97055-7371
Phone
(503) 826-0206
NPI assigned
May 18, 2011
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
No

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
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

36860 Industrial Way
Sandy, OR 97055-7371

Mailing address

PO Box 3777
Portland, OR 97208-3777
Phone (503) 413-3900

Other names 1

  • Legacy Medical Group Firwood Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031117000089 OR Part B Supplier - Clinic/Group Practice 0244144004 Receives reassigned benefits from 1,593 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
O20110630000638 OR Part A Provider - Rural Health Clinic 0244144004 Practice locations: Sandy, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730472192. Details of each certification follow.

Rural health clinic certification: CCN 383881

Legal name
LEGACY CLINICS LLC
Doing business as
LEGACY MEDICAL GROUP - FIRWOOD
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Feb 1, 2012
Last certification
Apr 10, 2026
Ownership / control type
2B
Organization structure
LLCNon-profit
Incorporated
Jun 30, 1999 in OR
Enrollment address
36860 Industrial Way
Sandy, OR 97055-7371

Other NPIs with the same Medicare PAC ID 1

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

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

2870 SW Cedar Hills Blvd
Beaverton, OR 97005
Phone (503) 646-9222

24988 SE Stark St
Ste 220
Gresham, OR 97030
Phone (503) 674-1580

25050 SE Stark St
Ste 265
Gresham, OR 97030
Phone (503) 674-1520

1130 NW 22nd Ave
Ste 110
Portland, OR 97210
Phone (503) 413-3940

1130 NW 22nd Ave
Ste 500
Portland, OR 97210
Phone (503) 229-7339

300 N Graham St
Ste 125
Portland, OR 97227
Phone (503) 413-3714

4800 SW 76th Ave
Portland, OR 97225
Phone (971) 808-0665

501 N Graham St
Ste 445
Portland, OR 97227
Phone (503) 284-5220

Ownership & related parties

All disclosed owners & managing parties 25

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
Jennifer Brand Individual W-2 Managing Employee Jun 18, 2015
Jack Friedman Individual Corporate DirectorBoard Member Jun 1, 2018
Edgar Navas Individual Corporate DirectorBoard Member Jun 1, 2020
Kerrin Gillespie Individual Corporate DirectorTreasurer Jun 14, 2024
Richard P Reiten Individual Corporate DirectorBoard Member Jul 25, 2013
Jerry Petty Individual Corporate Director Jun 1, 2018
Charles Wilhoite Individual Corporate DirectorChair Sep 15, 2015
Nancy Locke Individual Corporate DirectorBoard Member Jun 1, 2016
Leslie Root Individual Corporate DirectorBoard Member Jan 1, 2012
Jeffrey Barber Individual Corporate DirectorBoard Member Jul 25, 2013
Legacy Health Organization, Portland, OR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2011
Operational/Managerial Control Jun 1, 2011
Nancy Horton Individual Corporate DirectorBoard Member Jun 1, 2019
Craig Armstrong Individual Corporate DirectorSecretary Sep 1, 2023
Teresa L Handy Individual Corporate OfficerVP Revenue Cycle Mar 2, 2012
W-2 Managing EmployeeVP Revenue Cycle Mar 2, 2012
Legacy Emanuel Hospital & Health Center Organization, Portland, OR Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jun 1, 2011
Operational/Managerial Control Jun 1, 2011
Lynn T Gust Individual Corporate DirectorBoard Member Jun 1, 2017
George Joseph Brown Individual Corporate DirectorBoard President Jun 10, 2024
Gayle Goschie Individual Corporate DirectorBoard Member Jun 1, 2016
Lisa Freedman Individual Corporate DirectorBoard Member Jun 1, 2019
Nathalie Johnson Individual Corporate DirectorBoard Member Jun 1, 2023
Nasreen a Ilias-Khan Individual Corporate DirectorBoard Member May 15, 2021
David Ramus Individual Corporate DirectorVice Chair May 15, 2014
Samir B Desai Individual Corporate DirectorBoard Member Jun 1, 2017
Sarah Jensen Individual Corporate OfficerVP Finance Jun 1, 2017
W-2 Managing Employee Jun 1, 2017

Owners & managing parties with NPI records 10

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

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 808

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 808

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1730472192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3777",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083777",
            "telephone_number": "503-413-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36860 INDUSTRIAL WAY",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970557371",
            "telephone_number": "503-826-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "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": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Medical Group Firwood",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sandy, OR

Sources for this page

Verify at the official NPI Registry.