OrganizationActive
Legacy Clinic Woodburn
NPI 1821260860 · Non-Pharmacy Dispensing Site · Woodburn, OR
Legacy Clinic Woodburn is a Non-Pharmacy Dispensing Site organization in Woodburn, OR (NPI 1821260860).
Provider details
- NPI number
- 1821260860
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- MD19203 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1002 N Boones Ferry Rd
Woodburn, OR 97071-9602
Phone: (503) 981-9526
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Registry dates
- Enumerated
- 2008-03-31
- Last updated
- 2012-10-22
Frequently asked questions
- What is Legacy Clinic Woodburn's NPI number?
- Legacy Clinic Woodburn's National Provider Identifier (NPI) is 1821260860, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy Clinic Woodburn?
- Legacy Clinic Woodburn is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Legacy Clinic Woodburn located?
- Legacy Clinic Woodburn's practice location on file with NPPES is 1002 N Boones Ferry Rd, Woodburn, OR 97071-9602.
- What is Legacy Clinic Woodburn's phone number?
- The practice phone number listed in the NPPES registry for Legacy Clinic Woodburn is (503) 981-9526.
- Who is the authorized official for Legacy Clinic Woodburn?
- The authorized official listed on Legacy Clinic Woodburn's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy Clinic Woodburn's NPI active?
- Yes — Legacy Clinic Woodburn's NPI (1821260860) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.