MULTNOMAH COUNTY INVERNESS JAIL PHARMACY (NPI# 1669496204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669496204 |
| Entity Type | Organization |
| Organization Name | MULTNOMAH COUNTY INVERNESS JAIL PHARMACY |
| Practice Address |
11540 Ne Inverness Dr Portland OR 97220-9002 |
| Mailing Address |
619 Nw 6th Ave Portland OR 97209-3964 |
| Practice Telephone | 5039884134 |
| Practice Fax Number | 5039884882 |
| Mailing Telephone | 5039883674 |
| Mailing Fax Number | 5039884345 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2019-03-13 |
| Authorized Official Name | MISS STEVEN JOSEPH WHITE (LEAD PHARMACIST) |
| Authorized Official Telephone | 5039883674 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
100476 | OR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | OREGON PHARMACY LICENSE # | 100476 | 01 |
| OR | DEA NUMBER | BM6950287 | 01 |
| Street Address |
11540 NE INVERNESS DR |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-9002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013141241 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr, Inverness Jail, Portland, OR 97220-9002 | 2009-05-01 |
| 1417013533 | Heather Alice Nations | Dentist | 11540 Ne Inverness Dr, Portland, OR 97220-9002 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013141241 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr, Inverness Jail, Portland, OR 97220-9002 | 2009-05-01 |
| 1073757316 | Multnomah County | Clinic/Center | 1120 Sw 3rd Ave, Dentention Center, Portland, OR 97204-2801 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891173407 | County of Tillamook | Clinic/Center | 5995 Long Prairie Rd, Tillamook, OR 97141-9689 | 2015-05-14 |
Please comment or provide details below to improve the information on MULTNOMAH COUNTY INVERNESS JAIL PHARMACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.