MEDICATION MANAGEMENT PROGRAM NPI 1720493968

NPI Information

  • NPI: 1720493968
  • Provider Name: MEDICATION MANAGEMENT PROGRAM
  • Classification: Pharmacy - 3336C0002X
  • Specialization: Clinic Pharmacy
  • Entity Type: Organization
  • Doing Business As: MEDICATION MANAGEMENT PROGRAM
  • Address: 5717 NE 138TH AVE
    PORTLAND, OR
    ZIP 97230
  • Phone: (503) 261-7541

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NPI Details

MEDICATION MANAGEMENT PROGRAM 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. MEDICATION MANAGEMENT PROGRAM NPI is 1720493968. The provider is registered as an organization entity type.
The provider Is Doing Business As Medication Management Program.

The provider's business location address is:

5717 NE 138TH AVE
PORTLAND, OR
ZIP 97230-409
Phone: (503) 261-7541
Fax: (503) 261-2048

The provider's authorized official is Steve Logan .
The authorized official title is Director, Pharmacy and has the following contact phone number (503) 261-7980.

The enumeration date for this NPI number is 6/26/2014 and was last updated on 6/1/2021.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0002XPharmacyClinic Pharmacy00058657WASHINGTONNo
23336C0002XPharmacyClinic Pharmacy2131OREGONYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1136668MEDICAIDOREGON
22146486OTHERPK
36019392MEDICAIDWASHINGTON

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: 11/21/2025

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