Organization
ROCKWOOD HEALTH CLINIC PHARMACY
Active
Other names
Multnomah County Oregon- Rockwood Health Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE KODER (DIRECTOR OF PHARMACY)
(503) 988-7278
Entity
Organization
Contact information
Practice address
2020 SE 182ND AVE, PORTLAND, OR 97233-5692
(503) 988-3353
(503) 988-4345
Mailing address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3964
(503) 988-3353
(503) 988-4345
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002610-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3843869
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
500624853
—
OR
Enumeration date
08/02/2010
Last updated
02/03/2020
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