Organization
MANAGED HEALTH CARE OF OREGON I LLC
Active
Other names
MANAGED HEALTHCARE OF OR LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER VORRATH (OWNER AND MGR)
(503) 357-8442
Entity
Organization
Contact information
Practice address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-8442
(503) 992-0722
Mailing address
1825 MAPLE ST, FOREST GROVE, OR 97116-1939
(503) 357-8442
(503) 992-0722
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
Primary
IP0001181CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034285
—
OR
01
—
2078292
PK
—
Enumeration date
01/03/2007
Last updated
08/12/2013
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