PROVIDENCE HEALTH & SERVICES - OREGON NPI 1336223171

NPI Information

PROVIDENCE HEALTH & SERVICES - OREGON is a long term care pharmacy pharmacy in Portland, OR. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1336223171. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Specialty Pharmacy Services-ltc.

The provider's business location address is:

6410 NE HALSEY ST
SUITE 400
PORTLAND, OR
ZIP 97213-742
Phone: (503) 215-4633
Fax: (503) 215-0576

The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 525-5392.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 11/2/2021.

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:

Other Identifiers

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

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