Organization
OREGON HEALTH & SCIENCE UNIVERSITY
Active
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITY
Other names
OHSU Creekside Pharmacy
Organization subpart
Yes
Provider details
NPI number
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Authorized official
KELLY ANNE SMITH (VICE PRESIDENT, ERC)
(503) 494-8417
Entity
Organization
Contact information
Practice address
8300 SW CREEKSIDE PL STE 100, BEAVERTON, OR 97008-8179
(503) 346-3370
(503) 346-3371
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
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002907-CS
OR
3336I0012X
Institutional Pharmacy
RP-0002907-CS
OR
3336S0011X
Specialty Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770713224
—
ID
05
—
2005718
—
WA
01
—
3843631
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
500609431
—
OR
05
—
PH028OR
—
AK
Enumeration date
07/17/2009
Last updated
10/06/2025
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