Organization
OUTSIDE IN
Active
Other names
Outside In Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA BUTLER (PHARMACY MANAGER)
(503) 535-3888
Entity
Organization
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3888
(503) 610-3123
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3888
(503) 610-3123
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
Primary
RP0002532CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181599
—
OR
01
—
2119472
PK
—
Enumeration date
03/18/2009
Last updated
09/15/2022
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