Organization · Type 2 NPI

Multnomah County

Pharmacy · Portland, OR

NPI number 1205841004 Active

Practice location

9000 N Lombard St Fl 2
Portland, OR 97203-3006

Call (503) 988-5308 Map

Fax (503) 988-4345

Mailing address

619 NW 6th Ave Fl 7
Portland, OR 97209-3964

Specialties and licenses

Taxonomy	Code	License
Pharmacy Primary	333600000X	RP-0001116-CS (OR)
Clinic Pharmacy	3336C0002X	None listed
Community/Retail Pharmacy	3336C0003X	None listed

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 lo…

2 other providers at this address

Other pharmacy providers in Portland

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NPI record

NPI: 1205841004
Entity type: Organization (Type 2)
Issued: Jul 30, 2006
Last updated: Nov 8, 2019
Status: Active

Other names

<unavail>
North Portland Clinic Pharmacy · doing business as
North Portland Clinic Pharmacy · doing business as

Authorized official

Michele Koder
Pharmacy Director
(503) 988-7278

Verify this record

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 1205841004

Multnomah County's National Provider Identifier is 1205841004, issued on Jul 30, 2006. The primary taxonomy on file is Pharmacy (333600000X), and the practice location is in Portland, OR. The record was last updated on Nov 8, 2019.