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Providence Health & Services - Oregon
Long Term Care Pharmacy in Portland, Oregon
NPI 1336223171

Providence Health & Services - Oregon is a Long Term Care Pharmacy based in Portland, OR and is specialized in Long Term Care Pharmacy. Providence Health & Services - Oregon practices in Portland, OR. The NPI Number for Providence Health & Services - Oregon is 1336223171 and holds a License No. (Oregon).

The current practice location address for Providence Health & Services - Oregon is 6410 Ne Halsey St, Portland, OR and can be reached out via phone at 503-215-4633 and via fax at 503-215-0576.

Location: 6410 Ne Halsey St, Portland, OR, 97228-5936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336223171
Provider Name
Providence Health & Services - Oregon
Credential
Provider Entity Type
Organization
Address
6410 Ne Halsey St, Portland, OR, 97228-5936
Phone Number
503-215-4633
Fax Number
503-215-0576
Provider Enumeration Date
10/25/2006
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
233012 05 OR
3815315 01 NCPDP
institution
Provider Business Practice Location Address Details
Address
6410 Ne Halsey St
City
Portland
State
Oregon
Zip
97213-4742
Phone Number
503-215-4633
Fax Number
503-215-0576
person
Provider Business Mailing Address Details
Address
6410 Ne Halsey St
City
Portland
State
Oregon
Zip
97213-4742
Phone Number
503-215-4633
Fax Number
503-215-0576
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
-
Taxonomy
333600000X
License No.
IP0001899-CS (Oregon)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Long Term Care Pharmacy
Taxonomy
3336L0003X
License No.
()
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
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