# MANAGED HEALTH CARE OF OREGON I LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MANAGED HEALTHCARE OF OR LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750448130
- **Authorized official:** CHRISTOPHER VORRATH (OWNER AND MGR)
- **Authorized official phone:** (503) 357-8442

## Contact information

- **Practice address:** 1825 MAPLE ST, FOREST GROVE, OR 97116-1939
- **Practice address phone:** (503) 357-8442
- **Practice address fax:** (503) 992-0722
- **Mailing address:** 1825 MAPLE ST, FOREST GROVE, OR 97116-1939
- **Mailing address phone:** (503) 357-8442
- **Mailing address fax:** (503) 992-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 333600000X | Pharmacy | — | NULL | — |
| 3336L0003X | Long Term Care Pharmacy | IP0001181CS | OR | Yes |

## Other

- **Enumeration date:** 01/03/2007
- **Last updated:** 08/12/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 034285 | — | OR |
| 01 | — | 2078292 | PK | — |