Provider Type Icon

PROVIDENCE HEALTH & SERVICES - OREGON NPI 1417198862


NPI Information

NPI: 1417198862
Provider Name: PROVIDENCE HEALTH & SERVICES - OREGON

Doing Business As: PMG CLINICAL PHARMACY

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
4400 NE HALSEY ST
BLDG 2, 4TH FLOOR
PORTLAND, OR
ZIP 97213
Phone: (503) 893-6900
Get Directions

PROVIDENCE HEALTH & SERVICES - OREGON is a clinic pharmacy pharmacy in Portland, OR. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. PROVIDENCE HEALTH & SERVICES - OREGON NPI is 1417198862. The provider is registered as an organization entity type.
The provider Is Doing Business As Pmg Clinical Pharmacy.

The provider's business location address is:

4400 NE HALSEY ST
BLDG 2, 4TH FLOOR
PORTLAND, OR
ZIP 97213-545
Phone: (503) 893-6900

The provider's authorized official is Mitchell S Neyhart .
The authorized official title is Chief Finance Officer and has the following contact phone number (503) 893-6524.

The enumeration date for this NPI number is 3/16/2009 and was last updated on 11/2/2011.


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
13336C0002XPharmacyClinic 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.