Portland Compounding Pharmacy Llc
Compounding Pharmacy
2606 Ne Broadway St Ste B, Portland
Oregon, 97232-1898
503-281-4161 503-281-1990
Portland Compounding Pharmacy Llc is a Compounding Pharmacy in Portland, Oregon. It is located at 2606 Ne Broadway St Ste B, Portland and it's customer support contact number is 503-281-4161. The authorized person of Portland Compounding Pharmacy Llc is Natalie Gustafson, PHARMD who is Director Of Pharmacy of the pharmacy and his contact number is 503-281-4161. Active license number of Portland Compounding Pharmacy Llc is RP-0000465-CS for Compounding Pharmacy in Oregon.
Portland Compounding Pharmacy Llc is a pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice.
Pharmacy Details:
Portland Compounding Pharmacy Llc 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: | Portland Compounding Pharmacy Llc |
| Type: | Compounding Pharmacy |
| Location: | 2606 Ne Broadway St Ste B, Portland,
Oregon, 97232-1898 |
| Phone: | 503-281-4161 |
| Fax: | 503-281-1990 |
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: | Natalie Gustafson |
| Credentials: | PHARMD |
| Position: | Director Of Pharmacy |
| Contact Number: | 503-281-4161 |
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: | 1558373613 |
| NPI Enumeration Date: | 13 Aug, 2006 |
| NPI Last Update On: | 15 Nov, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Portland Compounding Pharmacy Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Compounding Pharmacy | RP-0000465-CS | Oregon | Primary | |
| Community/Retail Pharmacy | | | 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 |
| 2134247 | 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: | 2606 Ne Broadway St Ste B,
Portland, Oregon |
| Zip: | 97232-1898 |
| Phone Number: | 503-281-4161 |
| Fax Number: | 503-281-1990 |
Patients can reach Portland Compounding Pharmacy Llc at
2606 Ne Broadway St Ste B, Portland, Oregon or can
call on customer care at 503-281-4161.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.