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Contact Information

CREDENA HEALTH LLC
9155 SW BARNES RD STE 102
PORTLAND, OR97225-6625
 Phone: 503-216-2630
 Fax: 503-216-2637
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for CREDENA HEALTH LLC

NPI # 1225190408
LBN Legal business name CREDENA HEALTH LLC
Authorized official MIKE SKAFI - (AVP/SECRETARY)
Entity Organization
Organization subpart 1 No
Enumeration date 12/14/2006
Last updated 12/07/2023 - About 2 years ago
Identifiers n/a
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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