# DHS/OFFICE OF FINANCIAL SERVICES IRS/EOPC/BMRC/EOTC/OSH/OSH-P

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Oregon State Hospital Pharmacy, Oregon State Hospital Salem
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275637910
- **Authorized official:** KAREN JAMIESON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (503) 572-7663

## Contact information

- **Practice address:** 2600 CENTER ST NE, SALEM, OR 97301-2682
- **Practice address phone:** (503) 945-9840
- **Mailing address:** 2600 CENTER ST NE, SALEM, OR 97301-2682
- **Mailing address phone:** (503) 945-9840

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336I0012X | Institutional Pharmacy | IP 0002227 CS | OR | — |
| 3336L0003X | Long Term Care Pharmacy | — | NULL | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 03/15/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 3812636 | NCPDP | OR |