Midcounty Clinic Pharmacy
LBN: Multnomah County Oregon
Midcounty Clinic Pharmacy is an health care organization with primary practice located at 12710 Se Division St , Portland OR 97236-3134. 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 Oregon can be contacted via phone (503) 988-3608, or through Koder, Michele via phone (503) 988-7278.
Contact Information
Primary practice address
12710 Se Division St
Portland OR 97236-3134
Phone: (503) 988-3608
Fax: (503) 988-4345
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Pharmacy | 333600000X | RP-0001123-CS | Oregon |
| Suppliers / Clinic Pharmacy | 3336C0002X | ||
| Suppliers / Community/Retail Pharmacy | 3336C0003X |
Profile Details
| NPI number | 1306851191 |
|---|---|
| LBN Legal business name | Multnomah County Oregon |
| DBA Doing business as | Midcounty Clinic Pharmacy |
| Authorized official | Koder, Michele PHARM D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2006 |
| Last updated | Nov 8th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306851191 | NPPES |
| Oregon | MEDICAID | 025192 | |
| Oregon | Other | 2078377 |
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