Organization
MULTNOMAH COUNTY OREGON
Active
Other names
WESTSIDE HEALTH CENTER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE KODER PHARMD (PHARMACY DIRECTOR)
(503) 988-7278
Entity
Organization
Contact information
Practice address
619 NW 6TH AVE FL 1, PORTLAND, OR 97209-3964
(503) 988-5267
(503) 988-5781
Mailing address
619 NW 6TH AVE FL 7, PORTLAND, OR 97209-3964
(503) 988-5267
(503) 988-4345
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
RP-0000960-CS
OR
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123653
—
OR
01
—
2078375
PK
—
Enumeration date
07/30/2006
Last updated
11/08/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us