# ARDON HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ardon Health, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962832071
- **Authorized official:** HEATHER CHAPMAN (PRESIDENT)
- **Authorized official phone:** (503) 444-6529

## Contact information

- **Practice address:** 11835 NE GLENN WIDING DR, PORTLAND, OR 97220-9057
- **Practice address phone:** (855) 425-4085
- **Practice address fax:** (855) 425-4096
- **Mailing address:** 11835 NE GLENN WIDING DR, PORTLAND, OR 97220-9057
- **Mailing address phone:** (855) 425-4101
- **Mailing address fax:** (855) 425-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336S0011X | Specialty Pharmacy | 054.018529 | IL | — |
| 3336S0011X | Specialty Pharmacy | 22-103391 | KS | — |
| 3336S0011X | Specialty Pharmacy | 4361 | IA | — |
| 3336S0011X | Specialty Pharmacy | 46361MS | ID | — |
| 3336S0011X | Specialty Pharmacy | 64002411A | IN | — |
| 3336S0011X | Specialty Pharmacy | A9-0002058 | DE | — |
| 3336S0011X | Specialty Pharmacy | NRP2008 | CA | — |
| 3336S0011X | Specialty Pharmacy | NRX1701250 | DC | — |
| 3336S0011X | Specialty Pharmacy | OSP.0006445 | CO | — |
| 3336S0011X | Specialty Pharmacy | PCN.0002782 | CT | — |
| 3336S0011X | Specialty Pharmacy | PH28357 | FL | — |
| 3336S0011X | Specialty Pharmacy | PHA-O1385 | AK | Yes |
| 3336S0011X | Specialty Pharmacy | PHNR000256 | GA | — |
| 3336S0011X | Specialty Pharmacy | PMP-1004 | HI | — |
| 3336S0011X | Specialty Pharmacy | Y005898 | AZ | — |

## Other

- **Enumeration date:** 11/26/2013
- **Last updated:** 03/09/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10026742100 | — | NE |
| 05 | — | 1035155530001 | — | PA |
| 05 | — | 1609651 | — | AK |
| 05 | — | 1962832071 | — | ID |
| 05 | — | 1962832071 | — | MT |
| 05 | — | 1962832071 | — | NC |
| 05 | — | 1962832071 | — | VA |
| 05 | — | 19628790 | — | NM |
| 05 | — | 2034813 | — | WA |
| 01 | — | 2143280 | PK | — |
| 05 | — | 3006801 | — | UT |
| 05 | — | 365515 | — | AZ |
| 05 | — | 500668204 | — | OR |
| 05 | — | 7100529010 | — | KY |
| 05 | — | 7R2854 | — | SC |
| 05 | — | 8980063-00 | — | MD |
| 05 | — | 9000163242 | — | CO |