Gresham-troutdale Family Medical Center
Non-pharmacy Dispensing Site
1700 Sw 27th Ave, Troutdale
Oregon, 97060
503-669-6800 Gresham-troutdale Family Medical Center is a Non-pharmacy Dispensing Site in Troutdale, Oregon. This organization is also known as sub part of Medvantx, Inc.. It is located at 1700 Sw 27th Ave, Troutdale and it's customer support contact number is 503-669-6800. The authorized person of Gresham-troutdale Family Medical Center is Kenny Heine who is Director Of Operations of the pharmacy and his contact number is 858-625-2990. Active license number of Gresham-troutdale Family Medical Center is MD10780 for Non-pharmacy Dispensing Site in Oregon.
Gresham-troutdale Family Medical Center is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Gresham-troutdale Family Medical Center type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Gresham-troutdale Family Medical Center |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 1700 Sw 27th Ave, Troutdale,
Oregon, 97060 |
| Phone: | 503-669-6800 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Kenny Heine |
| Position: | Director Of Operations |
| Contact Number: | 858-625-2990 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1750581062 |
| Parent Organization: | Medvantx, Inc. |
| NPI Enumeration Date: | 24 Jul, 2007 |
| NPI Last Update On: | 22 Oct, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gresham-troutdale Family Medical Center are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | MD10780 | Oregon | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5626 Oberlin Dr, Suite 110
San Diego, California |
| Zip: | 92121-1705 |
| Phone Number: | -- |
Patients can reach Gresham-troutdale Family Medical Center at
1700 Sw 27th Ave, Troutdale, Oregon or can
call on customer care at 503-669-6800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.