Legacy Clinics Llc

Geriatric Medicine Clinic | Family Medicine


  
1130 Nw 22nd Ave Ste 220, Portland
Oregon, 97210-2969

 503-413-2901   Maps & Directions
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.
Specialization: Geriatric Medicine, Family Medicine
Clinic Address:1130 Nw 22nd Ave Ste 220, Portland,
Oregon, 97210-2969
Phone:503-413-2901
Authorized/Official Person Profile:
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.
SpecializationLicense NumberStateStatus
Clinic/center (Multi-Specialty) 698327-81OregonPrimary
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.
IdentifierTypeStateIssuer
277776MedicaidOregon
9646449MedicaidWashington
226982MedicaidOregon
7098429MedicaidWashington
7130628MedicaidWashington
134334MedicaidOregon
022930MedicaidOregon
286717MedicaidOregon
286822MedicaidOregon
227592MedicaidOregon
227692MedicaidOregon
286482MedicaidOregon
286709MedicaidOregon
7101124MedicaidWashington
804702000OtherOregonRegence Blue Cross
277799MedicaidOregon
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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