OrganizationActive
Legacy Mount Hood Medical Center
NPI 1104834969 · Diagnostic Radiology Physician · Gresham, OR
Provider details
- NPI number
- 1104834969
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pamela Vukovich, Sr. Vp/Cfo(503) 415-5370
- License
- 14 1337 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
24800 Se Stark St
Gresham, OR 97030-3378
Phone: (503) 674-1233
Fax: (503) 674-1647
Street-level locationGet directions
Mailing address
Po Box 10768
Portland, OR 97296-0768
Other names (DBA / former)
- Doing business as
- Legacy Mt. Hood Radiology
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.