National Provider Identifier Database

MULTNOMAH COUNTY OREGON
Pharmacy

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.


Contact Information

MULTNOMAH COUNTY OREGON
619 NW 6TH AVE FL 1
PORTLAND, OR97209-3964
Phone: 503-988-5267
Fax: 503-988-5781
Website:
Specialty Taxonomy Code
* Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X

* Indicates primary specialty

NPI Profile & details for MULTNOMAH COUNTY OREGON

NPI Number 1528073327
Legal business name
LBN
MULTNOMAH COUNTY OREGON
Authorized official MICHELE KODER - (PHARMACY DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 07/30/2006
Last updated 11/08/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • OR License #: RP-0000960-CS
  • OR Medicaid: 123653
  • Other: 2078375 PK

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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