Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Legacy Meridian Park Hospital

Organization General Practice Physician · NPI 1184647620

Legacy Meridian Park Hospital provides General Practice Physician services in Tualatin, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
4

Practice location Address checks out

19300 SW 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-1212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 14-1336 (OR)
General Practice Physician Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X
Physical Therapy Clinic/Center Taxonomy 261QP2000X

Record details

NPI number1184647620
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Jensen — Vp Finance · (503) 415-5145
NPI enumeratedJuly 25, 2006
Last updated in NPPESJanuary 20, 2026
Certification dateJanuary 20, 2026
Mailing addressPo Box 4037, Portland, OR 97208-4037

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