# CREDENA HEALTH LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Credena Health Pharmacy St Vincent
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225190408
- **Authorized official:** MIKE SKAFI (AVP/SECRETARY)
- **Authorized official phone:** (575) 650-3396

## Contact information

- **Practice address:** 9155 SW BARNES RD STE 102, PORTLAND, OR 97225-6625
- **Practice address phone:** (503) 216-2630
- **Practice address fax:** (503) 216-2637
- **Mailing address:** PO BOX 2704, PORTLAND, OR 97208-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 12/14/2006
- **Last updated:** 12/07/2023