LEGACY CLINICS LLC
LEGACY CLINICS LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1902827272, based in Portland, OR. The organization lists 15 taxonomy classifications, with Clinic/Center recorded as primary.
Getting there
The practice address on file is 1130 NW 22ND AVE STE 220, Portland, OR 97210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 698327-81 | OR | Multi-Specialty Clinic/Center |
This provider holds licence 698327-81 issued in OR. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 0244144004
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Oregon | O20031117000089 | Part B Supplier - Clinic/group Practice |
| Washington | O20050627000226 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (OR, WA). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Clinic/Center covers
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). NUCC Health Care Provider Taxonomy, code 261Q00000X
All registered taxonomy codes
This provider registers 15 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | — | — | primary |
| 2086S0129X | Vascular Surgery Physician Vascular Surgery | — | — | |
| 208M00000X | Hospitalist Physician | — | — | |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician Geriatric Medicine | — | — | |
| 207R00000X | Internal Medicine Physician | — | — | |
| 261QM1300X | Multi-Specialty Clinic/Center Multi-Specialty | 698327-81 | OR | |
| 207VM0101X | Maternal & Fetal Medicine Physician Maternal & Fetal Medicine | — | — | |
| 207X00000X | Orthopaedic Surgery Physician | — | — | |
| 207Q00000X | Family Medicine Physician | — | — | |
| 207RC0200X | Critical Care Medicine (Internal Medicine) Physician Critical Care Medicine | — | — | |
| 207VX0000X | Obstetrics Physician Obstetrics | — | — | |
| 176B00000X | Midwife | — | — | |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) Mental Health (Including Community Mental Health Center) | — | — | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — | |
| 207T00000X | Neurological Surgery Physician | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1902827272 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 22, 2006 |
| Last updated | Jan 20, 2026 |
| Status | Active |
| Practice address |
1130 NW 22ND AVE STE 220 Portland, OR 97210 (503) 413-2901 |
| Mailing address |
PO BOX 3777 Portland, OR 97208 |
| Other identifiers |
227692
· Medicaid (OR) 9646449 · Medicaid (WA) 286717 · Medicaid (OR) 227592 · Medicaid (OR) 277799 · Medicaid (OR) 134334 · Medicaid (OR) 277776 · Medicaid (OR) 286482 · Medicaid (OR) 286709 · Medicaid (OR) 7098429 · Medicaid (WA) 7130628 · Medicaid (WA) 022930 · Medicaid (OR) 226982 · Medicaid (OR) 286822 · Medicaid (OR) 7101124 · Medicaid (WA) 804702000 · Other (OR) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 9 | 0 | 2 | 8 | 2 | 7 | 2 | 7 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 9 | 0 | 2 | 7 | 2 | 5 | 2 | 5 |
Sum = 58 · next multiple of 10 = 60 · check digit = 2 · actual last digit = 2
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.