Ohsu Gabriel Park Pharmacy

LBN: Oregon Health & Science University
Ohsu Gabriel Park Pharmacy is an health care organization with primary practice located at 4411 Sw Vermont St , Portland OR 97219-1020. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Clinic Pharmacy, Suppliers / Community/Retail Pharmacy, Suppliers / Institutional Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Oregon Health & Science University can be contacted via phone (503) 494-2098, or through Hunter, John G via phone (503) 494-8744.

Contact Information

Primary practice address
4411 Sw Vermont St Portland OR 97219-1020
Phone: (503) 494-2098
Fax: (503) 494-2255
Website:
Map and Directions
Authorized official contact:
Name: Hunter, John G M.D.,F.A.C.S.
Phone: (503) 494-8744

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X
Suppliers / Community/Retail Pharmacy 3336C0003X
Suppliers / Institutional Pharmacy 3336I0012X RP0002250CS Oregon

Profile Details

NPI number 1982797155
LBN Legal business name Oregon Health & Science University
DBA Doing business as Ohsu Gabriel Park Pharmacy
Authorized official Hunter, John G M.D.,F.A.C.S.
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2006
Last updated Feb 28th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1982797155 NPPES
Idaho MEDICAID 1982797155
Idaho MEDICAID 1046485
Idaho MEDICAID 242116
Idaho Other 3842083
Idaho MEDICAID PH027OR

Popular Providers