Organization · Type 2 NPI

Multnomah County

Clinic Pharmacy · Portland, OR

NPI number 1629888722 Active

Practice location

5530 NE 42nd Ave
Portland, OR 97218-1408

Call (503) 988-6625 Map

Fax (503) 988-4345

Mailing address

619 NW 6th Ave Fl 5
Portland, OR 97209-3991

Specialties and licenses

Taxonomy	Code	License
Clinic Pharmacy Primary	3336C0002X	None listed

Clinic Pharmacy: A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

4 other providers at this address

Other clinic pharmacy providers in Portland

See all in Portland →

NPI record

NPI: 1629888722
Entity type: Organization (Type 2)
Issued: Jan 10, 2025
Last updated: Aug 28, 2026
Status: Active
Subpart: Yes of Multnomah County

Other names

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Fernhill Health Center Pharmacy · doing business as
Fernhill Health Center Pharmacy · doing business as

Authorized official

Antoinette Payne
Deputy Director
(971) 325-6412

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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 1629888722

Multnomah County's National Provider Identifier is 1629888722, issued on Jan 10, 2025. The primary taxonomy on file is Clinic Pharmacy (3336C0002X), and the practice location is in Portland, OR. The record was last updated on Aug 28, 2026.