Providence Health & Services - Oregon
Long Term Care Pharmacy
6410 Ne Halsey St, Suite 400, Portland
Oregon, 97213-4742
503-215-4633 503-215-0576
Providence Health & Services - Oregon is a Long Term Care Pharmacy in Portland, Oregon. This organization is also known as sub part of Providence Health & Services - Oregon. It is located at 6410 Ne Halsey St, Suite 400, Portland and it's customer support contact number is 503-215-4633. The authorized person of Providence Health & Services - Oregon is Donald W Anderson Jr. who is Assistant Secretary Enrollments of the pharmacy and his contact number is 425-358-9786. Active license number of Providence Health & Services - Oregon is IP0001899-CS for Long Term Care Pharmacy in Oregon.
Providence Health & Services - Oregon is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Pharmacy Details:
Providence Health & Services - Oregon 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: | Providence Health & Services - Oregon |
| Type: | Long Term Care Pharmacy |
| Location: | 6410 Ne Halsey St, Suite 400, Portland,
Oregon, 97213-4742 |
| Phone: | 503-215-4633 |
| Fax: | 503-215-0576 |
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: | Donald W Anderson Jr. |
| Position: | Assistant Secretary Enrollments |
| Contact Number: | 425-358-9786 |
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: | 1336223171 |
| Parent Organization: | Providence Health & Services - Oregon |
| NPI Enumeration Date: | 25 Oct, 2006 |
| NPI Last Update On: | 16 May, 2025 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Providence Health & Services - Oregon are as mentioned below.
| Specialization | License Number | State | Status | |
| Long Term Care Pharmacy | IP0001899-CS | Oregon | Primary | |
| 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 |
| 3815315 | Other | | Ncpdp |
| 233012 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Po Box 5936b,
Portland, Oregon |
| Zip: | 97228-5936 |
| Phone Number: | 503-215-5033 |
| Fax Number: | 503-215-0542 |
Patients can reach Providence Health & Services - Oregon at
6410 Ne Halsey St, Suite 400, Portland, Oregon or can
call on customer care at 503-215-4633.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.