Blackburn Pharmacy

LBN: Central City Concern
Blackburn Pharmacy is an health care organization with primary practice located at 12121 E Burnside St , Portland OR 97216-3737. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Central City Concern can be contacted via phone (971) 361-7700, or through Mendenhall, Andrew via phone (503) 294-1681.

Contact Information

Primary practice address
12121 E Burnside St Portland OR 97216-3737
Phone: (971) 361-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mendenhall, Andrew Doctor of Medicine (MD)
Phone: (503) 294-1681

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1437624046
LBN Legal business name Central City Concern
DBA Doing business as Blackburn Pharmacy
Authorized official Mendenhall, Andrew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2018
Last updated Mar 6th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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