# CREDENA HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982341731
- **Authorized official:** MIKE SKAFI (AVP/SECRETARY)
- **Authorized official phone:** (575) 650-3396

## Contact information

- **Practice address:** 7376 SW DURHAM RD, PORTLAND, OR 97224-7307
- **Practice address phone:** (503) 962-1700
- **Mailing address:** PO BOX 2704, PORTLAND, OR 97208-2704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336S0011X | Specialty Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 05/13/2022
- **Last updated:** 12/21/2023