Northeast Health Center Pharmacy

LBN: Multnomah County
Northeast Health Center Pharmacy is an health care organization with primary practice located at 5329 Ne Martin L King Fl Jrblvd2 , Portland OR 97211-3237. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Pharmacy, Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Pharmacy is the primary health care specialty. Multnomah County can be contacted via phone (503) 988-3634, or through Koder, Michele via phone (503) 988-7278.

Contact Information

Primary practice address
5329 Ne Martin L King Fl Jrblvd2 Portland OR 97211-3237
Phone: (503) 988-3634
Fax: (503) 988-4345
Website:
Map and Directions
Authorized official contact:
Name: Koder, Michele
Phone: (503) 988-7278

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Pharmacy 333600000X RP-0000961-CS Oregon
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1528073319
LBN Legal business name Multnomah County
DBA Doing business as Northeast Health Center Pharmacy
Authorized official Koder, Michele
Entity Organization
Organization subpart 1 No
Enumeration date Jul 30th, 2006
Last updated Nov 8th, 2019 - about 6 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 1528073319 NPPES
Other 2078364 PK
MEDICAID 136424 PK

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