Organization · Type 2 NPI

Oregon Health & Science University

Community/Retail Pharmacy · Portland, OR

NPI number 1982797155 Active

Practice location

4411 SW Vermont St
Portland, OR 97219-1020

Call (503) 494-2098 Map

Fax (503) 494-2255

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	None listed
Community/Retail Pharmacy Primary	3336C0003X	None listed
Institutional Pharmacy	3336I0012X	RP0002250CS (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 …

31 other providers at this address

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NPI record

NPI: 1982797155
Entity type: Organization (Type 2)
Issued: Oct 2, 2006
Last updated: Oct 6, 2025
Status: Active

Other names

<unavail>
Ohsu Gabriel Park Pharmacy · doing business as
Ohsu Gabriel Park Pharmacy · doing business as

Authorized official

Kelly Anne Smith
Vice President, Erc
(503) 494-4817

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 1982797155

Oregon Health & Science University's National Provider Identifier is 1982797155, issued on Oct 2, 2006. 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.