Organization · Type 2 NPI

Providence Health & Services Oregon

Community/Retail Pharmacy · Tigard, OR

NPI number 1922330828 Active

Practice location

18040 SW Lower Boones Ferry Rd Ste 104
Tigard, OR 97224-7259

Call (503) 216-0625 Map

Fax (503) 216-0630

Mailing address

18040 SW Lower Boones Ferry Rd, Suite 104
Tigard, OR 97224-7258

Specialties and licenses

TaxonomyCodeLicense
Community/Retail Pharmacy Primary 3336C0003XRP-0002571-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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About NPI 1922330828

Providence Health & Services Oregon's National Provider Identifier is 1922330828, issued on Feb 3, 2010. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Tigard, OR. The record was last updated on Jul 8, 2025.