Providence Health & Services Oregon
Home Infusion Therapy Pharmacy
6410 Ne Halsey St, Suite 400, Portland
Oregon, 97213-4742
503-215-4652 Providence Health & Services Oregon is a Home Infusion Therapy 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 503-215-4652. 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. Active license number of Providence Health & Services Oregon is RP-0001136-CS for Home Infusion Therapy Pharmacy in Oregon. Providence Health & Services Oregon accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Providence Health & Services Oregon is pharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of drugs, biologics and nutritional formulae administered through catheters and/or needles in home and alternate sites. Extensive professional pharmacy services, care coordination, infusion nursing services, supplies and equipment are provided to optimize efficacy and compliance.
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: | Home Infusion Therapy Pharmacy |
| Location: | 6410 Ne Halsey St, Suite 400, Portland,
Oregon, 97213-4742 |
| Phone: | 503-215-4652 |
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: | 1427132265 |
| 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 | |
| Home Infusion Therapy Pharmacy | RP-0001136-CS | Oregon | Primary | |
| Parenteral & Enteral Nutrition | | | Secondary | |
| Specialty Pharmacy | RP-0001136-CS | Oregon | 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 |
| 032016 | Medicaid | Oregon | |
| 1427132265 | Medicaid | Montana | |
| 1427132265 | Medicaid | Idaho | |
| 1044161 | Medicaid | Washington | |
| 1427132265 | Medicaid | Utah | |
| PH001OR | Medicaid | Alaska | |
Medicare Enrollment:
Providence Health & Services Oregon is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 6305755000 | O20110531000342 | Providence Health & Services - Oregon | DME SUPPLIER - PHARMACY |
Products Available:
Providence Health & Services Oregon has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Canes & Crutches |
| • Commodes, Urinals, & Bedpans | • Cpap, Rads, & Related Supplies & Accessories |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Gastric Suction Pumps | • Heat & Cold Applications |
| • Hospital Beds: Electric | • Mechanical In-exsufflation Devices |
| • Nebulizer Equipment & Supplies | • Orthoses: Off-the-shelf |
| • Oxygen Equipment & Supplies | • Patient Lifts |
| • Power Operated Vehicles (scooters) | • Respiratory Suction Pumps |
| • Seat Lift Mechanisms | • Speech Generating Devices |
| • Support Surfaces: Pressure Reducing Beds, Mattresses, Overlays, & Pads | • Surgical Dressings |
| • Tracheostomy Supplies | • Traction Equipment |
| • Ultraviolet Light Devices | • Ventilators, Accessories & Supplies |
| • Walkers | • Wheelchair Seating/cushions |
| • Wheelchairs & Accessories: Standard Manual | |
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: | 503-215-4652 |
Patients can reach Providence Health & Services Oregon at
6410 Ne Halsey St, Suite 400, Portland, Oregon or can
call on customer care at 503-215-4652.
Comments/ Reviews:
Read all the reviews posted for Providence Health & Services Oregon below. You may also share your own experience with Providence Health & Services Oregon. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.