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Contact Information

ROCKWOOD HEALTH CLINIC PHARMACY
2020 SE 182ND AVE
PORTLAND, OR97233-5692
 Phone: 503-988-3353
 Fax: 503-988-4345
 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 ROCKWOOD HEALTH CLINIC PHARMACY

NPI Number 1255645271
LBN Legal business name ROCKWOOD HEALTH CLINIC PHARMACY
Authorized official MICHELE KODER - (DIRECTOR OF PHARMACY)
Entity Organization
Organization subpart 1 No
Enumeration date 08/02/2010
Last updated 02/03/2020 - About 6 years ago
Identifiers
OR License # RP-0002610-CS
OR Medicaid 500624853
Other 3843869 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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