OrganizationActive
Legacy Meridan Park Hospital
NPI 1497170849 · Community/Retail Pharmacy · Tualatin, OR
Provider details
- NPI number
- 1497170849
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Michael Sieg, Phcy Srvcs Mgr(503) 692-2665
- License
- RP-0000864 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
19300 Sw 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-7470
Fax: (503) 692-7437
Approximate (ZIP-level) locationGet directions
Mailing address
19300 Sw 65th Ave
Tualatin, OR 97062-7706
Other names (DBA / former)
- Doing business as
- Meridian Park Medical Center Community Pharmacy
Registry dates
- Enumerated
- 2014-02-21
- Last updated
- 2015-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.