OrganizationActive
Legacy Meridian Park Hospital
NPI 1689694150 · Community/Retail Pharmacy · Tualatin, OR
Provider details
- NPI number
- 1689694150
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Legacy Meridian Park Hospital
- Organization subpart
- Yes
- Authorized official
- Sarah Jensen, Vp Finance(503) 415-5145
- License
- RP-0000864-CS (OR)
Specialties & taxonomies
Suppliers
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
19300 Sw 65th Ave
Tualatin, OR 97062-7706
Phone: (503) 692-2662
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4037
Portland, OR 97208-4037
Other names (DBA / former)
- Doing business as
- Legacy Meridian Park Hospital Pharmacy
Registry dates
- Enumerated
- 2006-07-20
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.