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MULTNOMAH COUNTY OREGON NPI 1306851191


NPI Information

NPI: 1306851191
Provider Name: MULTNOMAH COUNTY OREGON

Doing Business As: MIDCOUNTY CLINIC PHARMACY

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 988-3608
Get Directions

MULTNOMAH COUNTY OREGON is a pharmacy in Portland, OR. The provider is 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 located. MULTNOMAH COUNTY OREGON NPI is 1306851191. The provider is registered as an organization entity type.
The provider Is Doing Business As Midcounty Clinic Pharmacy.

The provider's business location address is:

12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236-134
Phone: (503) 988-3608
Fax: (503) 988-4345

The provider's authorized official is Michele Koder .
The authorized official title is Pharmacy Director and has the following contact phone number (503) 988-7278.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 11/8/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacyRP-0001123-CSOREGONYes
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12078377OTHERPK
2025192MEDICAIDOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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