Multnomah County Oregon- Rockwood Health Clinic Pharmacy

LBN: Rockwood Health Clinic Pharmacy
Multnomah County Oregon- Rockwood Health Clinic Pharmacy is an health care organization with primary practice located at 2020 Se 182Nd Ave , Portland OR 97233-5692. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Rockwood Health Clinic Pharmacy can be contacted via phone (503) 988-3353, or through Koder, Michele via phone (503) 988-7278.

Contact Information

Primary practice address
2020 Se 182Nd Ave Portland OR 97233-5692
Fax: (503) 988-4345
Website:
Authorized official contact:
Name: Koder, Michele

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X RP-0002610-CS Oregon

Profile Details

NPI number 1255645271
LBN Legal business name Rockwood Health Clinic Pharmacy
DBA Doing business as Multnomah County Oregon- Rockwood Health Clinic Pharmacy
Authorized official Koder, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Aug 2nd, 2010
Last updated Feb 3rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1255645271 NPPES
Other 3843869 NCPDP PROVIDER IDENTIFICATION NUMBER
MEDICAID 500624853 NCPDP PROVIDER IDENTIFICATION NUMBER

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