Organization
CREDENA HEALTH LLC
Active
Other names
Credena Health Pharmacy PPMC Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SKAFI (AVP/SECRETARY)
(575) 650-3396
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST STE 142, PORTLAND, OR 97213-2956
(503) 215-6296
(503) 215-6459
Mailing address
PO BOX 2704, PORTLAND, OR 97208-2704
(503) 215-6296
(503) 215-6459
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
12/07/2023
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