# OREGON HEALTH & SCIENCE UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** OHSU GABRIEL PARK PHARMACY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982797155
- **Authorized official:** KELLY ANNE SMITH (VICE PRESIDENT, ERC)
- **Authorized official phone:** (503) 494-4817

## Contact information

- **Practice address:** 4411 SW VERMONT ST, PORTLAND, OR 97219-1020
- **Practice address phone:** (503) 494-2098
- **Practice address fax:** (503) 494-2255
- **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 |
| --- | --- | --- | --- | --- |
| 3336C0002X | Clinic Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | — | NULL | Yes |
| 3336I0012X | Institutional Pharmacy | RP0002250CS | OR | — |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 10/06/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1046485 | — | WA |
| 05 | — | 1982797155 | — | ID |
| 05 | — | 242116 | — | OR |
| 01 | — | 3842083 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |
| 05 | — | PH027OR | — | AK |