OREGON HEALTH AND SCIENCE UNIVERSITY
Specialty Pharmacy
Portland, Oregon
Provider NPI: 1790878965
Organization Information:Organization Name: OREGON HEALTH AND SCIENCE UNIVERSITY
Practice Location:
3303 SW BOND AVE PORTLAND, OR 97239 US
Tel: 503-418-9898 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3303 SW BOND AVE PORTLAND, OR 97239 US
Tel: 503-418-9898 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336S0011X | Suppliers Pharmacy Specialty Pharmacy | ||
Y | 3336I0012X | Suppliers Pharmacy | OR | IP0002158CS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
242107 | OR | 05 | |
NCPDP | 3842514 | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin