Professional 205 Pharmacy
Community/Retail Pharmacy
10000 Se Main St Ste 118, Portland
Oregon, 97216-2462
503-255-2546 503-255-3893
Professional 205 Pharmacy is a Community/Retail Pharmacy in Portland, Oregon. It is located at 10000 Se Main St Ste 118, Portland and it's customer support contact number is 503-255-2546. The authorized person of Professional 205 Pharmacy is Susan Hodge who is Owner of the pharmacy and his contact number is 503-255-2546. Active license number of Professional 205 Pharmacy is RP,0000689 for Community/Retail Pharmacy in Oregon.
Professional 205 Pharmacy is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Pharmacy Details:
Professional 205 Pharmacy 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: | Professional 205 Pharmacy |
| Type: | Community/Retail Pharmacy |
| Location: | 10000 Se Main St Ste 118, Portland,
Oregon, 97216-2462 |
| Phone: | 503-255-2546 |
| Fax: | 503-255-3893 |
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: | Susan Hodge |
| Position: | Owner |
| Contact Number: | 503-255-2546 |
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: | 1639521149 |
| NPI Enumeration Date: | 08 Jul, 2016 |
| NPI Last Update On: | 17 Aug, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Professional 205 Pharmacy are as mentioned below.
| Specialization | License Number | State | Status | |
| Community/Retail Pharmacy | RP,0000689 | Oregon | Primary | |
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 |
| 2160623 | 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: | 10000 Se Main St Ste 118,
Portland, Oregon |
| Zip: | 97216-2462 |
| Phone Number: | 503-255-2546 |
| Fax Number: | 503-255-3893 |
Patients can reach Professional 205 Pharmacy at
10000 Se Main St Ste 118, Portland, Oregon or can
call on customer care at 503-255-2546.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.