Organization
OREGON HEALTH & SCIENCE UNIVERSITY
Active
Other names
OHSU Richmond Clinic Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ANNE SMITH (VICE PRESIDENT, ERC)
(503) 494-8417
Entity
Organization
Contact information
Practice address
3930 SE DIVISION ST, PORTLAND, OR 97202-1643
(503) 418-3250
(503) 418-3330
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
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
RP-0002522-CS
OR
3336I0012X
Institutional Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2118967
PK
—
05
—
500606174
—
OR
Enumeration date
03/12/2009
Last updated
10/06/2025
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