National Provider Identifier Database

MULTNOMAH COUNTY OREGON
Clinic Pharmacy

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.


Contact Information

MULTNOMAH COUNTY OREGON
3653 SE 34TH AVE
PORTLAND, OR97202-3034
Phone: 503-988-5423
Fax: 503-988-4345
Website:
Specialty Taxonomy Code
* Clinic Pharmacy 3336C0002X

* Indicates primary specialty

NPI Profile & details for MULTNOMAH COUNTY OREGON

NPI Number 1396087631
Legal business name
LBN
MULTNOMAH COUNTY OREGON
Authorized official MICHELE KODER - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/25/2013
Last updated 11/08/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: RP-0002772-CS
  • OR Medicaid: 123620
  • Other: 3844621 NCPDP PROVIDER IDENTIFICATION NUMBER

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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