| Legacy Emanuel Hospital & Health Center | |
|
2801 N Gantenbein Ave Portland OR 97227-1623 | |
| (503) 413-2200 | |
| (503) 413-2756 |
| Full Name | Legacy Emanuel Hospital & Health Center |
|---|---|
| Speciality | General Acute Care Hospital |
| Location | 2801 N Gantenbein Ave, Portland, Oregon |
| Authorized Official Name and Position | Anna Loomis (CFO) |
| Authorized Official Contact | 5034155730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legacy Emanuel Hospital & Health Center Po Box 4037 Portland OR 97208-4037 Ph: (503) 413-3958 | Legacy Emanuel Hospital & Health Center 2801 N Gantenbein Ave Portland OR 97227-1623 Ph: (503) 413-2200 |
| NPI Number | 1831112358 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 07/17/2019 |
| Medicare PECOS PAC ID | 4587573639 |
|---|---|
| Medicare Enrollment ID | O20030331000022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831112358 | NPI | - | NPPES |
| 055330 | Medicaid | OR | |
| 055103 | Medicaid | OR | |
| 1019958 | Medicaid | WA |
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