OrganizationActive
Legacy Meridian Park Pediatric Rehab
NPI 1801122593 · Children's Rehabilitation Hospital · Tualatin, OR
Provider details
- NPI number
- 1801122593
- Entity type
- Organization
- Primary specialty
- Children's Rehabilitation HospitalHospitals
- Authorized official
- Sarah Jensen, Vp Finance
- License
- 930618915 (OR)
Practice location
19250 Sw 65th Ave Ste 125
Tualatin, OR 97062-7745
Phone: (503) 413-4505
Mailing address
Po Box 6689
Portland, OR 97228-6689
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 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.