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CREDENA HEALTH LLC NPI 1366101966


NPI Information

NPI: 1366101966
Provider Name: CREDENA HEALTH LLC

Doing Business As: CREDENA HEALTH CLINIC

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

CLIA Number: 38D2216197

Address:
5050 NE HOYT ST STE 222
PORTLAND, OR
ZIP 97213
Phone: (503) 215-9968
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CREDENA HEALTH LLC is a community/retail pharmacy pharmacy in Portland, OR. The provider is 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 health care providers, collaborative practice, disease state management, and education classes. CREDENA HEALTH LLC NPI is 1366101966. The provider is registered as an organization entity type.
The provider Is Doing Business As Credena Health Clinic.

The provider's business location address is:

5050 NE HOYT ST STE 222
PORTLAND, OR
ZIP 97213-980
Phone: (503) 215-9968

The provider's authorized official is Mike Skafi .
The authorized official title is Avp/secretary and has the following contact phone number (575) 650-3396.

The CLIA number assigned to this NPI record is 38D2216197 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/10/2021 and was last updated on 12/7/2023.


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
1333600000XPharmacyNo
23336C0002XPharmacyClinic PharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyYes

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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