MULTNOMAH COUNTY OREGON (NPI# 1275548059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275548059 |
| Entity Type | Organization |
| Organization Name | MULTNOMAH COUNTY OREGON |
| Other Organization Name | EAST COUNTY HEALTH SERVICES PHARMACY |
| Practice Address |
600 Ne 8th St Fl 3 Gresham OR 97030-7317 |
| Mailing Address |
619 Nw 6th Ave Fl 7 Portland OR 97209-3964 |
| Practice Telephone | 5039885154 |
| Practice Fax Number | 5039884345 |
| Mailing Telephone | 5039885154 |
| Mailing Fax Number | 5039884345 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-11-08 |
| Authorized Official Name | MICHELE KODER (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 5039887478 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | RP-0000953-CS | OR | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2078376 | 01 | |
| OR | 123729 | 05 |
| Other Name | Type Code |
|---|---|
| EAST COUNTY HEALTH SERVICES PHARMACY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528073327 | Multnomah County Oregon | Pharmacy | 619 Nw 6th Ave Fl 1, Portland, OR 97209-3964 | 2006-07-30 |
| 1396087631 | Multnomah County Oregon | Pharmacy | 3653 Se 34th Ave, Portland, OR 97202-3034 | 2013-03-25 |
| 1306851191 | Multnomah County Oregon | Pharmacy | 12710 Se Division St, Portland, OR 97236-3134 | 2006-07-30 |
| Street Address |
600 NE 8TH ST FL 3 |
| City | GRESHAM |
| State | OR |
| Zip Code | 97030-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902468358 | Sara Miller | Nurse Practitioner | 600 Ne 8th St Fl 3, Gresham, OR 97030-7317 | 2019-07-06 |
| 1558686998 | Yelena Goloborodko | Dental Hygienist | 600 Ne 8th St Fl 3, Dental Clinic, Gresham, OR 97030-7317 | 2010-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174032312 | Tiffany Chen | Occupational Therapist | 304 Ne Hood Ave., Gresham, OR 97030 | 2017-09-20 |
| 1225568454 | Goldstar Vascular Access, Inc | Home Infusion | 2870 Ne Hogan Dr, Ste E #205, Gresham, OR 97030 | 2017-06-20 |
| 1861940454 | Jessica Morrow | Massage Therapist | 1748 Nw Fairview Dr., Gresham, OR 97030 | 2016-09-13 |
| 1033665898 | Bonita Baxter | Counselor | 400 Ne 7th Street, Gresham, OR 97030 | 2016-08-31 |
| 1710335484 | Ethan William Hoccom | Counselor | 1527 Ne Lamesa Place 17th St, Gresham, OR 97030 | 2016-06-02 |
| 1992159610 | Kathleen Kline, Lmt | Massage Therapist | 1217 Ne Burnside Road Suite 701-d, Gresham, OR 97030 | 2016-04-19 |
| 1215390109 | The Wallace Medical Concern | Nurse Practitioner | 254 Nw Burnside Road, Gresham, OR 97030 | 2016-03-30 |
| 1932568912 | Atchison Dialysis, LLC | Clinic/Center | 878 Nw Burnside Rd, Gresham, OR 97030 | 2016-02-18 |
| 1912374034 | Hilary Dawn Montgomery | Counselor | 1326 Nw Civic Dr # 5569, Gresham, OR 97030 | 2015-08-24 |
| 1992171730 | Melissa E Childs | Massage Therapist | 1217 Nw Burnside Rd Ste 701, Gresham, OR 97030 | 2015-08-17 |
| Find all providers in zip 97030 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396525 | Fred Meyer Stores Inc | Pharmacy | 2497 Se Burnside Rd, Gresham, OR 97080-1246 | 2006-06-20 |
| 1154984763 | Devon Heisler | Pharmacy | 24800 Se Stark St, Gresham, OR 97030-3378 | 2019-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811521784 | Genoa Healthcare, LLC | Pharmacy | 627 Ne Evans St Ste P, Mcminnville, OR 97128-3923 | 2020-02-28 |
| 1447725502 | Medsavvy, Inc | Pharmacy | 1621 Sw First Ave, Portland, OR 97201-5713 | 2018-10-04 |
| 1659862936 | Coast Community Health Center | Pharmacy | 716 Highway 101, Port Orford, OR 97465-8672 | 2018-05-23 |
| 1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
| 1336644871 | Genoa Healthcare, LLC | Pharmacy | 58646 Mcnulty Way Ste 116, Saint Helens, OR 97051 | 2018-03-27 |
| 1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
| 1790202323 | Genoa Healthcare, LLC | Pharmacy | 702 Sunset Dr Ste P1, Ontario, OR 97914-3121 | 2017-08-24 |
| 1144767427 | Prestige Professional Pharmacy | Pharmacy | 11723 Ne Glisan St, Portland, OR 97220-2141 | 2017-01-25 |
| 1700321825 | Legacy Emanuel Hospital and Health Center | Pharmacy | Unity Center for Behavioral Health, 1225 Ne 2nd St, Portland, OR 97232 | 2016-12-28 |
| 1972908077 | Zoom Care PC | Pharmacy | 1455 Nw Irving St Ste 500, Portland, OR 97209-2277 | 2014-10-31 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MULTNOMAH COUNTY OREGON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.