# OREGON HEALTH & SCIENCE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** OREGON HEALTH & SCIENCE UNIVERSITY
- **Other names:** OHSU Creekside Pharmacy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1770713224
- **Legal business name:** OREGON HEALTH & SCIENCE UNIVERSITY
- **Authorized official:** KELLY ANNE SMITH (VICE PRESIDENT, ERC)
- **Authorized official phone:** (503) 494-8417

## Contact information

- **Practice address:** 8300 SW CREEKSIDE PL STE 100, BEAVERTON, OR 97008-8179
- **Practice address phone:** (503) 346-3370
- **Practice address fax:** (503) 346-3371
- **Mailing address:** 3181 SW SAM JACKSON PARK RD, MAIL CODE: CR9-4 PHARMACY COMPLIANCE, PORTLAND, OR 97239-3011
- **Mailing address phone:** (503) 494-8007
- **Mailing address fax:** (503) 494-5094

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | RP-0002907-CS | OR | Yes |
| 3336I0012X | Institutional Pharmacy | RP-0002907-CS | OR | — |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 07/17/2009
- **Last updated:** 10/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1770713224 | — | ID |
| 05 | — | 2005718 | — | WA |
| 01 | — | 3843631 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | 500609431 | — | OR |
| 05 | — | PH028OR | — | AK |