Providence Health & Services - Oregon
Clinic Pharmacy
4400 Ne Halsey St, Bldg 2, 4th Floor, Portland
Oregon, 97213-1545
503-893-6900 Providence Health & Services - Oregon is not a DME supplier for medicare equipments and products.
Providence Health & Services - Oregon is a Clinic Pharmacy in Portland, Oregon. It is located at 4400 Ne Halsey St, Bldg 2, 4th Floor, Portland and it's customer support contact number is 503-893-6900. The authorized person of Providence Health & Services - Oregon is Donald Wayne Anderson Jr. who is Assistant Secretary Enrollment of the pharmacy and his contact number is 425-358-9786.
Providence Health & Services - Oregon 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:
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: | Clinic Pharmacy |
| Location: | 4400 Ne Halsey St, Bldg 2, 4th Floor, Portland, Oregon, 97213-1545 |
| Phone: | 503-893-6900 |
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 Wayne Anderson Jr. |
| Position: | Assistant Secretary Enrollment |
| 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: | 1417198862 |
| NPI Enumeration Date: | 16 Mar, 2009 |
| NPI Last Update On: | 04 Jul, 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 | |
| Clinic Pharmacy | | | 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: | Po Box 31001 - 4180, Pasadena, California |
| Zip: | 91110-4180 |
| Phone Number: | -- |
Patients can reach Providence Health & Services - Oregon at
4400 Ne Halsey St, Bldg 2, 4th Floor, Portland, Oregon or can
call on customer care at 503-893-6900.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.