Legacy Clinics Llc is a Family Medicine (Geriatric Medicine) Clinic in Portland, Oregon. It is situated at 1130 Nw 22nd Ave Ste 220, Portland and its contact number is 503-413-2901. The authorized person of Legacy Clinics Llc is Sarah Jensen
who is Vp Finance of the clinic and their contact number is 503-415-5145. Primary license number for Legacy Clinics Llc is 698327-81 (Clinic/center (Multi-Specialty)) in Oregon.
Complete Clinic Profile:
Legacy Clinics Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Sarah Jensen
Position:
Vp Finance
Contact Number:
503-415-5145
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Legacy Clinics Llc Clinic are as mentioned below.
NPI Number:
1902827272
NPI Enumeration Date:
22 Jul, 2006
NPI Last Update On:
12 May, 2025
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Legacy Clinics Llc are as mentioned below.
Specialization
License Number
State
Status
Clinic/center (Multi-Specialty)
698327-81
Oregon
Primary
Geriatric Medicine
Secondary
Internal Medicine
Secondary
Critical Care Medicine
Secondary
Neurological Surgery
Secondary
Midwife
Secondary
Family Medicine
Secondary
Maternal & Fetal Medicine
Secondary
Obstetrics
Secondary
Orthopaedic Surgery
Secondary
Public Health & General Preventive Medicine
Secondary
Diagnostic Radiology
Secondary
Vascular Surgery
Secondary
Hospitalist
Secondary
Mental Health (Including Community Mental Health Center)
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
277776
Medicaid
Oregon
9646449
Medicaid
Washington
226982
Medicaid
Oregon
7098429
Medicaid
Washington
7130628
Medicaid
Washington
134334
Medicaid
Oregon
022930
Medicaid
Oregon
286717
Medicaid
Oregon
286822
Medicaid
Oregon
227592
Medicaid
Oregon
227692
Medicaid
Oregon
286482
Medicaid
Oregon
286709
Medicaid
Oregon
7101124
Medicaid
Washington
804702000
Other
Oregon
Regence Blue Cross
277799
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Legacy Clinics Llc Po Box 3777, Portland, Oregon
Zip:
97208-3777
Phone Number:
503-413-3958
Fax Number:
503-413-3212
Patients can reach Legacy Clinics Llc at 1130 Nw 22nd Ave Ste 220, Portland, Oregon or can call to book an appointment on 503-413-2901. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.
Comments/ Reviews:
Family Medicine (Geriatric Medicine): A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
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