Providence Health & Services Oregon
Community/Retail Pharmacy
18040 Sw Lower Boones Ferry Rd Ste 104, Tigard
Oregon, 97224-7259
503-216-0625 503-216-0630
Providence Health & Services Oregon is a Community/Retail Pharmacy in Tigard, Oregon. It is located at 18040 Sw Lower Boones Ferry Rd Ste 104, Tigard and it's customer support contact number is 503-216-0625. The authorized person of Providence Health & Services Oregon is Donald Wayne Anderson Jr. who is Assistant Secreatry For Enrollment of the pharmacy and his contact number is 425-358-9786. Active license number of Providence Health & Services Oregon is RP-0002571-CS for Community/Retail Pharmacy in Oregon.
Providence Health & Services Oregon 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:
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: | Community/Retail Pharmacy |
| Location: | 18040 Sw Lower Boones Ferry Rd Ste 104, Tigard,
Oregon, 97224-7259 |
| Phone: | 503-216-0625 |
| Fax: | 503-216-0630 |
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 Secreatry For 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: | 1922330828 |
| NPI Enumeration Date: | 03 Feb, 2010 |
| NPI Last Update On: | 08 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 | |
| Community/Retail Pharmacy | RP-0002571-CS | 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 |
| 3843768 | Other | | Ncpdp Provider Identification Number |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 18040 Sw Lower Boones Ferry Rd, Suite 104
Tigard, Oregon |
| Zip: | 97224-7258 |
| Phone Number: | 503-216-0625 |
| Fax Number: | 503-216-0630 |
Patients can reach Providence Health & Services Oregon at
18040 Sw Lower Boones Ferry Rd Ste 104, Tigard, Oregon or can
call on customer care at 503-216-0625.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.