FRED MEYER NPI 1083081905

NPI Information

NPI: 1083081905
Provider Name: FRED MEYER
Classification: Clinic/Center - 261QP0905X
Entity Type: Organization

Specialization: Public Health, State or Local

Address:
11565 SW PACIFIC HWY
TIGARD, OR
ZIP 97223
Phone: (503) 293-7085
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FRED MEYER is a public health and state or local clinic center in Tigard, OR. FRED MEYER NPI is 1083081905. The provider is registered as an organization entity type.

The provider's business location address is:

11565 SW PACIFIC HWY
TIGARD, OR
ZIP 97223-845
Phone: (503) 293-7085

The provider's authorized official is Janae Winden .
The authorized official title is Pharmacist and has the following contact phone number (503) 293-7085.

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP0905X	Clinic/Center	Public Health, State or Local			Yes

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: 11/14/2023

NPI Synchronization or Removal

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