Organization · Type 2 NPI

Oregon Health and Science University

Community/Retail Pharmacy · Portland, OR

NPI number 1053454645 Active

Practice location

700 SW Campus Dr Ste 7480
Portland, OR 97239-3107

Call (503) 418-5244 Map

Fax (503) 494-3506

Mailing address

3181 SW Sam Jackson Park Rd, Mail Code: CR9-4 Pharmacy Compliance
Portland, OR 97239-3011

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy	3336C0002X	RP-0001639-CS (OR)
Community/Retail Pharmacy Primary	3336C0003X	RP-0001639-CS (OR)
Institutional Pharmacy	3336I0012X	RP-0001639-CS (OR)

Community/Retail Pharmacy: A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other …

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NPI record

NPI: 1053454645
Entity type: Organization (Type 2)
Issued: Feb 14, 2007
Last updated: Oct 6, 2025
Status: Active
Subpart: Yes of Oregon Health and Science University

Other names

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Ohsu Doernbecher Childrens Hosp. Pharmacy · doing business as
Ohsu Doernbecher Childrens Hosp. Pharmacy · doing business as

Authorized official

Kelly Anne Smith
Vice President, Erc
(503) 494-8417

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1053454645

Oregon Health and Science University's National Provider Identifier is 1053454645, issued on Feb 14, 2007. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Portland, OR. The record was last updated on Oct 6, 2025.