OrganizationActive
Legacy Laboratory Services, LLC
NPI 1902059538 · Clinical Medical Laboratory · Portland, OR
Provider details
- NPI number
- 1902059538
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- Legacy Emanuel Hospital and Health Center
- Organization subpart
- Yes
- Authorized official
- Pamela Vuckovich, Sr Vp and Cfo(503) 415-5730
- License
- 38D0625165 (OR)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1225 Ne 2nd Ave
Portland, OR 97232-2003
Phone: (503) 413-5050
Fax: (503) 413-3212
Street-level locationGet directions
Mailing address
Po Box 5337
Portland, OR 97228-5337
Registry dates
- Enumerated
- 2008-10-28
- Last updated
- 2009-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.