Legacy Clinics Llc

LBN: Legacy Clinics Llc
Legacy Clinics Llc is an health care organization with primary practice located at 1130 Nw 22Nd Ave Ste 220 , Portland OR 97210-2969. The organization recently has 15 registered licenses in different health care specialties including Other Service Providers / Midwife, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Hospitalist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Multi-Specialty. Ambulatory Health Care Facilities / Multi-Specialty is the primary health care specialty. Legacy Clinics Llc can be contacted via phone (503) 413-2901, or through Loomis, Anna via phone (503) 415-5730.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Ste 220 Portland OR 97210-2969
Phone: (503) 413-2901
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Loomis, Anna
Phone: (503) 415-5730

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Midwife 176B00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X 698327-81 Oregon

Profile Details

NPI number 1902827272
LBN Legal business name Legacy Clinics Llc
DBA Doing business as
Authorized official Loomis, Anna
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Dec 22nd, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902827272 NPPES
Oregon MEDICAID 277799
Oregon MEDICAID 022930
Oregon Other 804702000
Oregon MEDICAID 286709
Oregon MEDICAID 7101124
Oregon MEDICAID 9646449
Oregon MEDICAID 286822
Oregon MEDICAID 286717
Oregon MEDICAID 227592
Oregon MEDICAID 277776
Oregon MEDICAID 134334
Oregon MEDICAID 226982
Oregon MEDICAID 227692
Oregon MEDICAID 7098429
Oregon MEDICAID 286482
Oregon MEDICAID 7130628

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