Organization
OREGON HEALTH & SCIENCE UNIVERSITY
Active
Other names
OHSU OUTPATIENT PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE SMITH (VICE PRESIDENT, ERC)
(503) 494-8417
Entity
Organization
Contact information
Practice address
3270 SW PAVILION LOOP, SUITE PPV 110, PORTLAND, OR 97239-3011
(503) 494-7570
(503) 494-5628
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE: CR9-4 PHARMACY COMPLIANCE, PORTLAND, OR 97239-3011
(503) 494-8007
(503) 494-5094
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP0000787CS
OR
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043803
—
WA
05
—
242117
—
OR
01
—
3804160
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
M0034257
—
ID
05
—
PH030OR
—
AK
Enumeration date
07/25/2006
Last updated
10/06/2025
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