Organization · Type 2 NPI

Multnomah County

Pharmacy · Portland, OR

NPI number 1528073319 Active

Practice location

5329 NE Martin L King Fl JRBLVD2
Portland, OR 97211-3237

Call (503) 988-3634 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-0000961-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…

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NPI record

NPI: 1528073319
Entity type: Organization (Type 2)
Issued: Jul 30, 2006
Last updated: Nov 8, 2019
Status: Active

Other names

<unavail>
Northeast Health Center Pharmacy · doing business as
Northeast Health Center 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 1528073319

Multnomah County's National Provider Identifier is 1528073319, 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.