Organization
PORTLAND ADVENTIST MEDICAL CENTER
Active
Parent organization
PORTLAND ADVENTIST MEDICAL CENTER
Other names
ADVENTIST MEDICAL CENTER PHARMACY
Organization subpart
Yes
Provider details
NPI number
Legal business name
PORTLAND ADVENTIST MEDICAL CENTER
Authorized official
JOYCE L NEWMYER (CEO)
(503) 257-2500
Entity
Organization
Contact information
Practice address
10123 SE MARKET ST, PORTLAND, OR 97216-2532
(503) 251-6141
(503) 261-6643
Mailing address
PO BOX 16800, PORTLAND, OR 97292-0800
(503) 251-6141
(503) 261-6643
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
RP-0000889-CS
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269070
—
OR
05
—
275183
—
OR
Enumeration date
03/01/2006
Last updated
08/21/2014
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