Organization
OREGON COMPOUNDING CENTERS, INC.
Active
Other names
Creative Compounds
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE BURNHAM RPH (PHARMACIST IN CHARGE/PRESIDENT)
(503) 685-6111
Entity
Organization
Contact information
Practice address
8560 SW SALISH LN STE 100, WILSONVILLE, OR 97070-9625
(503) 685-6111
(503) 570-2831
Mailing address
8560 SW SALISH LN STE 100, WILSONVILLE, OR 97070-9625
(503) 685-6111
(503) 570-2831
Taxonomy
Speciality
Code
Description
License number
State
3336C0004X
Compounding Pharmacy
Primary
RP0001594CS
OR
Other
Enumeration date
01/10/2008
Last updated
12/05/2013
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