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PORTLAND PROFESSIONAL PHARMACY LLC NPI 1659755593


NPI Information

NPI: 1659755593
Provider Name: PORTLAND PROFESSIONAL PHARMACY, LLC

Doing Business As: PORTLAND PROFESSIONAL PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
11717 NE GLISAN ST
PORTLAND, OR
ZIP 97220
Phone: (971) 200-8324
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PORTLAND PROFESSIONAL PHARMACY, 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. PORTLAND PROFESSIONAL PHARMACY, LLC NPI is 1659755593. The provider is registered as an organization entity type.
The provider Is Doing Business As Portland Professional Pharmacy.

The provider's business location address is:

11717 NE GLISAN ST
PORTLAND, OR
ZIP 97220-141
Phone: (971) 200-8324

The provider's authorized official is Susan Hodge .
The authorized official title is Manager and has the following contact phone number (702) 203-4797.

The enumeration date for this NPI number is 7/9/2015 and was last updated on 8/4/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0003XPharmacyCommunity/Retail PharmacyRP-0003101-CSOREGONYes

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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