Medication Management Program

LBN: Medication Management Program
Medication Management Program is an health care organization with primary practice located at 5717 Ne 138Th Ave , Portland OR 97230-3409. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Medication Management Program can be contacted via phone (503) 261-7541, or through Logan, Steve via phone (503) 261-7980.

Contact Information

Primary practice address
5717 Ne 138Th Ave Portland OR 97230-3409
Phone: (503) 261-7541
Fax: (503) 261-2048
Website:
Map and Directions
Authorized official contact:
Name: Logan, Steve
Phone: (503) 261-7980

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X 00058657 Washington
Suppliers / Clinic Pharmacy 3336C0002X 2131 Oregon

Profile Details

NPI number 1720493968
LBN Legal business name Medication Management Program
DBA Doing business as Medication Management Program
Authorized official Logan, Steve
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2014
Last updated Jun 1st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720493968 NPPES
Oregon MEDICAID 136668
Oregon MEDICAID 6019392
Oregon Other 2146486

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