Medication Management Program
Clinic Pharmacy
5717 Ne 138th Ave, Portland
Oregon, 97230-3409
503-261-7541 503-261-2048
Medication Management Program is not a DME supplier for medicare equipments and products.
Medication Management Program is a Clinic Pharmacy in Portland, Oregon. It is located at 5717 Ne 138th Ave, Portland and it's customer support contact number is 503-261-7541. The authorized person of Medication Management Program is Steve Logan who is Director, Pharmacy of the pharmacy and his contact number is 503-261-7980. Active license number of Medication Management Program is 2131 for Clinic Pharmacy in Oregon.
Medication Management Program is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Pharmacy Details:
Medication Management Program 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: | Medication Management Program |
| Type: | Clinic Pharmacy |
| Location: | 5717 Ne 138th Ave, Portland, Oregon, 97230-3409 |
| Phone: | 503-261-7541 |
| Fax: | 503-261-2048 |
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: | Steve Logan |
| Position: | Director, Pharmacy |
| Contact Number: | 503-261-7980 |
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: | 1720493968 |
| NPI Enumeration Date: | 26 Jun, 2014 |
| NPI Last Update On: | 01 Jun, 2021 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Medication Management Program are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic Pharmacy | 2131 | Oregon | Primary | |
| Clinic Pharmacy | 00058657 | Washington | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 136668 | Medicaid | Oregon | |
| 6019392 | Medicaid | Washington | |
| 2146486 | Other | | Pk |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5717 Ne 138th Ave, Portland, Oregon |
| Zip: | 97230-3409 |
| Phone Number: | 503-261-7541 |
| Fax Number: | 503-261-2048 |
Patients can reach Medication Management Program at
5717 Ne 138th Ave, Portland, Oregon or can
call on customer care at 503-261-7541.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.