OREGON HEALTH & SCIENCE UNIVERSITY (NPI# 1770713224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770713224 |
Entity Type | Organization |
Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
Other Organization Name | OHSU CREEKSIDE PHARMACY |
Practice Address |
8300 Sw Creekside Pl Ste 100 Beaverton OR 97008-8179 |
Mailing Address |
3181 Sw Sam Jackson Park Rd Mail Code: Cr9-4 Portland OR 97239-3011 |
Practice Telephone | 5033463370 |
Practice Fax Number | 5033463371 |
Mailing Telephone | 5034948007 |
Mailing Fax Number | 5034945094 |
Enumeration Date | 2009-07-17 |
Last Update Date | 2020-02-28 |
Authorized Official Name | DR. JOHN G HUNTER (PROFESSOR, EVP & CEO, OHSU HLTH SYS) |
Authorized Official Telephone | 5034948744 |
Authorized Official Credential | M.D.,F.A.C.S. |
Is Organization Subpart | Y |
Parent Organization Name | OREGON HEALTH & SCIENCE UNIVERSITY |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
RP-0002907-CS | OR | Suppliers |
N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
RP-0002907-CS | OR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ID | 1770713224 | 05 | |
WA | 2005718 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 3843631 | 01 | |
OR | 500609431 | 05 | |
AK | PH028OR | 05 |
Other Name | Type Code |
---|---|
OHSU Creekside Pharmacy | Doing Business As Name - Organization |
OHSU MAIL ORDER PHARMACY | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
1013406131 | Oregon Health & Science University | Pharmacy | 333 Se 7th Ave Ste 1500, Hillsboro, OR 97123-4171 | 2018-05-03 |
1790294965 | Oregon Health & Science University | Pharmacy | 707 Sw Gaines St Rm 1133, Portland, OR 97239-2901 | 2017-09-20 |
1801254644 | Oregon Health & Science University | Clinic/Center | 546 Ne 12th Ave, Room 126, Portland, OR 97232-2719 | 2016-02-08 |
1811339666 | Oregon Health & Science University | Clinic/Center | 2952 Ne 34th Ave, Portland, OR 97212-2705 | 2013-07-22 |
1487902706 | Oregon Health & Science University | Clinic/Center | 4212 Se Division St., Suite 150, Portland, OR 97206-1600 | 2012-08-16 |
1467694141 | Oregon Health & Science University | General Acute Care Hospital | Toronto Western Hospital 399 Bathurst Street, Ww, 4-447, Toronto, ONTARIO M5T 2S8 | 2009-03-27 |
1346263340 | Oregon Health & Science University | Pharmacy | 3270 Sw Pavilion Loop, Suite Ppv 110, Portland, OR 97239-3011 | 2006-07-25 |
1851954804 | Oregon Health & Science University | Pharmacy | 10000 Se Main St Ste 118, Portland, OR 97216-2462 | 2019-04-16 |
1033650353 | Oregon Health & Science University | Clinic/Center | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2017-03-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | OREGON HEALTH & SCIENCE UNIVERSITY MEDICAL GROUP | 3181 Sw Sam Jackson Park Road, Portland, OR 97239 |
Street Address |
8300 SW CREEKSIDE PL STE 100 |
City | BEAVERTON |
State | OR |
Zip Code | 97008-8179 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679124903 | Jade Elizabeth Adkisson | Pharmacist | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2019-09-27 |
1598316010 | Diem-chau H Do | Pharmacist | 8300 Sw Creekside Pl Ste 100, Beaverton, OR 97008-8179 | 2019-09-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972136638 | Kelly Mitchell | Counselor | 6600 Sw 105th Ave Suite 120, Beaverton, OR 97008 | 2020-02-20 |
1700305315 | Heather Denise Glenn | Counselor | 6700 Sw 105th Avenue, Suite 203, Beaverton, OR 97008 | 2017-09-14 |
1649798265 | Timothy Wilkins | Counselor | 8285 Sw Nimbus Ave #148, Beaverton, OR 97008 | 2017-09-04 |
1962920751 | West End Surgical, LLC | Clinic/Center | 9405 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-09-01 |
1073054714 | University Professional Services | Durable Medical Equipment & Medical Supplies | 9317 Sw Nimbus Ave, Beaverton, OR 97008 | 2017-03-14 |
1508311424 | Mitra Gaspeed | Dental Hygienist | 8615 Sw Thoroughbred Pl., Beaverton, OR 97008 | 2016-08-20 |
1740521988 | Donna Louise Grenier | Registered Nurse | 1413 E St, Independence, OR 97008 | 2013-03-13 |
1508105735 | Mary Elizabeth Smith | Specialist/Technologist, Other | 11855sw Ridgecrest Dr, #209, Beaverton, OR 97008 | 2013-02-07 |
1629315551 | Adelfino J Zuriaga | Massage Therapist | 11985 Sw Camden Ln, Beaverton, OR 97008 | 2013-01-11 |
1760738330 | Lih-wern Wang | Pharmacist | 9775 Sw Gemini Dr Ste 1, Beaverton, OR 97008 | 2012-07-31 |
Find all providers in zip 97008 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699780684 | Walgreen Co | Pharmacy | 14600 Sw Murray Scholls Dr Ste 201, Beaverton, OR 97007-9712 | 2006-07-29 |
1295018455 | Walgreens | Pharmacy | 19975 Sw Tualatin Valley Hwy, Beaverton, OR 97006-2323 | 2011-09-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972104354 | Jrrx LLC | Pharmacy | 621 Hickory St Nw, Albany, OR 97321-1754 | 2020-11-03 |
1346850641 | Credena Health LLC | Pharmacy | 1510 Division St Ste 110, Oregon City, OR 97045-1572 | 2020-08-03 |
1235747775 | Cordant Pharmacy Oregon, LLC | Pharmacy | 6135 Ne 80th Ave Ste A2, Portland, OR 97218-4033 | 2020-07-21 |
1578184909 | Capsule Portland LLC | Pharmacy | 416 Nw 12th Ave, Portland, OR 97209-2907 | 2020-04-27 |
1588291645 | Avita Drugs Oregon, LLC | Pharmacy | 2236 Se Belmont St Ste B, Portland, OR 97214-2817 | 2020-03-26 |
1467090183 | Mosaic Medical | Pharmacy | 375 Nw Beaver St Ste 103, Prineville, OR 97754-1802 | 2019-12-12 |
1598302119 | Beacon Health Care Solutions Incorporated | Pharmacy | 2790 Broadway Ave, North Bend, OR 97459-2216 | 2019-12-02 |
1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
1588131296 | Home Town Drugs of Cottage Grove, Inc. | Pharmacy | 1205 Hwy 99 North, Cottage Grove, OR 97424 | 2018-10-31 |
1659857480 | Avalina Pharmacy Inc | Pharmacy | 3507 Commercial St Se, Salem, OR 97302 | 2018-07-16 |
Find all providers with the same taxonomy |
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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.