NPIMap

Organization Active NPI

Legacy Emanuel Hospital & Health Center

  • General Acute Care Hospital
  • Portland, OR
National Provider Identifier
1831112358
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
14-0056 Issued in OR
Legal business name
LEGACY EMANUEL HOSPITAL & HEALTH CENTER
Practice address
2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone
(503) 413-2200
Fax
(503) 413-2756
NPI assigned
Jul 25, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Physical Therapy Clinic/Center 261QP2000X NU
Urgent Care Clinic/Center 261QU0200X NU
Psychiatric Hospital Unit 273R00000X NU
Rehabilitation Hospital Unit 273Y00000X NU
General Acute Care Hospital 282N00000X 14-0056 OR Primary

Addresses

Primary practice location

2801 N Gantenbein Ave
Portland, OR 97227-1623

Mailing address

PO Box 4037
Portland, OR 97208-4037
Phone (503) 413-4048

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Other practice location 2

501 N Graham St Ste 260
Portland, OR 97227-2000
Phone (503) 413-2078

Other identifiers 3

IdentifierTypeStateIssuer
1019958MedicaidWA
055103MedicaidOR
055330MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20030331000022 OR Part A Provider - Hospital 4587573639 3 other NPIs on this enrollment
Practice locations: Portland, OR
O20040127001204 OR Part B Supplier - Clinic/Group Practice 4587573639 Receives reassigned benefits from 774 practitioners
5 other NPIs on this enrollment
Practice locations: Portland, OR; Tualatin, OR; St Helens, OR; Saint Helens, OR; Beaverton, OR
O20191101002047 OR DME Supplier - Pharmacy 4587573639 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR
O20230621001713 OR Part A Provider - End-Stage Renal Disease Facility (ESRD) 4587573639 Practice locations: Portland, OR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831112358. 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 with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 7

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

Locations

501 N Graham St
Portland, OR 97227
Phone (503) 413-2200

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.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Legacy Medical Group - FirwoodSandy, OR, CCN 383881 Rural health clinic 5% Or Greater Direct Ownership Interest
Operational/Managerial Control		 Jun 1, 2011
Jun 1, 2011

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Legacy Clinics LLC

    dba Legacy Medical Group Firwood

    • Rural Health Clinic/Center
    • Sandy, OR
    • NPI 1730472192

    5% Or Greater Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

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 882

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 882

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": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1831112358",
    "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",
            "fax_number": "503-413-3212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N GANTENBEIN AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972271623",
            "telephone_number": "503-413-2200",
            "fax_number": "503-413-2756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Graham St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972272000",
            "country_code": "US",
            "telephone_number": "503-413-2078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY EMANUEL HOSPITAL & HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "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": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "OR",
            "license": "14-0056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1019958",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055103",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055330",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.