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Contact Information

MULTNOMAH COUNTY
5329 NE MARTIN L KING FL JRBLVD2
PORTLAND, OR97211-3237
 Phone: 503-988-3634
 Fax: 503-988-4345
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacy

333600000X 58 Medical Supply Company with Pharmacist
 

Clinic Pharmacy

3336C0002X 58 Medical Supply Company with Pharmacist
 

Community/Retail Pharmacy

3336C0003X 58 Medical Supply Company with Pharmacist
Indicates primary specialty

NPI Profile & details for MULTNOMAH COUNTY

NPI Number 1528073319
LBN Legal business name MULTNOMAH COUNTY
Authorized official MICHELE KODER - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/30/2006
Last updated 11/08/2019 - About 7 years ago
Identifiers
OR License # RP-0000961-CS
OR Medicaid 136424
Other 2078364 PK
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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