MULTNOMAH COUNTY OREGON; NPI #1396087631

Contact Information

MULTNOMAH COUNTY OREGON

3653 SE 34TH AVE
PORTLAND, OR 97202-3034

Phone: 503-988-5423
Fax: 503-988-4345
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Clinic Pharmacy	3336C0002X	58	Medical Supply Company with Pharmacist

Indicates primary specialty

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NPI Profile & details for MULTNOMAH COUNTY OREGON

NPI # 1396087631

LBN Legal business name MULTNOMAH COUNTY OREGON

Authorized official MICHELE KODER - (PHARMACY DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/25/2013

Last updated 11/08/2019 - About 7 years ago

Identifiers

OR	License #	RP-0002772-CS
OR	Medicaid	123620
	Other	3844621	NCPDP PROVIDER IDENTIFICATION NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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