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PROVIDENCE HEALTH & SERVICES OREGON

Specialty Pharmacy

Portland, Oregon

Provider NPI: 1427132265

Organization Information:
Organization Name:  PROVIDENCE HEALTH & SERVICES OREGON


Practice Location:
6410 NE HALSEY ST SUITE 400 PORTLAND, OR 97213 US
Tel: 503-215-4652  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N332BP3500XSuppliers
Durable Medical Equipment & Medical Supplies
Parenteral & Enteral Nutrition
N3336S0011XSuppliers
Pharmacy
ORRP-0001136-CS
Y3336H0001XSuppliers
Pharmacy
ORRP-0001136-CS

Other Provider Identifiers:

IssuerNumberStateType
032016OR05
1427132265MT05
PH001ORAK05
1044161WA05
1427132265ID05
1427132265UT05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




PHARMACY JOBS OR - Page 1



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