OREGON COMPOUNDING CENTERS, INC. (NPI# 1922284751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922284751 |
| Entity Type | Organization |
| Organization Name | OREGON COMPOUNDING CENTERS, INC. |
| Other Organization Name | CREATIVE COMPOUNDS |
| Practice Address |
8560 Sw Salish Ln Ste 100 Wilsonville OR 97070-9625 |
| Practice Telephone | 5036856111 |
| Practice Fax Number | 5035702831 |
| Mailing Telephone | 5036856111 |
| Mailing Fax Number | 5035702831 |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2013-12-05 |
| Authorized Official Name | MRS. DENISE BURNHAM (PHARMACIST IN CHARGE/PRESIDENT) |
| Authorized Official Telephone | 5036856111 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
RP0001594CS | OR | Suppliers |
| Other Name | Type Code |
|---|---|
| Creative Compounds | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | OREGON COMPOUNDING CENTERS, INC. | 8560 Sw Salish Ln No 100, Wilsonville, OR 97070 |
| Washington State Corporations | OREGON COMPOUNDING CENTERS, INC. |
| Street Address |
8560 SW SALISH LN STE 100 |
| City | WILSONVILLE |
| State | OR |
| Zip Code | 97070-9625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457995896 | Rosalyn Sharon Mckinney | Technician | 7798 Sw Vlahos Dr, Wilsonville, OR 97070 | 2019-10-29 |
| 1275027393 | Oregon Regeneration Stem Cell Medical Center, LLC | Chiropractor | 29781 Sw Town Center Loop, Wilsonville, OR 97070 | 2018-06-21 |
| 1073050472 | Kirstin Marie Lauritzen | Chiropractor | 25589 Sw Canyon Creek Rd Ste 100, Wilsonville, OR 97070 | 2017-01-23 |
| 1932642220 | Nicole Galasso | Occupational Therapy Assistant | 25117 Sw Parkway Avenue Suite D, Wilsonville, OR 97070 | 2016-11-18 |
| 1508317512 | Justin Langlais | Naturopath | 25195 Sw Parkway Ave Ste 210, Wilsonville, OR 97070 | 2016-10-14 |
| 1518411149 | Stephanie Tran | Optometrist | 29250 Town Center Loop W, Wilsonville, OR 97070 | 2016-08-11 |
| 1346610607 | Rachel Ziegler | Occupational Therapy Assistant | 25117 Sw Parkway Ave Suite D, Willsonville, OR 97070 | 2015-09-30 |
| 1992184238 | Michelle Miranda | Counselor | 30150 Sw Parkway Ave Ste 300, Wilsonville, OR 97070 | 2015-05-19 |
| 1609275007 | Ryan Bridges | Dentist | 30040 Sw Boones Ferry Rd Ste 20, Wilsonville, OR 97070 | 2014-08-21 |
| 1649604018 | Jason Russell James | Physical Therapist | 29174 Sw Town Center Loop W # 202b, Wilsonville, OR 97070 | 2013-08-21 |
| Find all providers in zip 97070 | ||||
| Taxonomy Code | 3336C0004X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Compounding Pharmacy |
| A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner’s Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of professional practice. A compounding pharmacy utilizes specialized equipment and specially designed facilities necessary to meet the legal and quality requirements of its scope of compounding practice. |
| Notes: Sources: NABP Model Practice Act, Appendix C - Good Compounding Practice, USP <795> and <797>, and Pharmacy Compounding Accreditation Board [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528545969 | Willamette Pharmacy | Pharmacy | 10209 Se Division Build B Ste 100, Portland, OR 97266 | 2018-07-27 |
| 1922536606 | Pharmacy Acquisition Co., LLC | Pharmacy | 1286 Se Holgate Blvd # C-2, Portland, OR 97202-5053 | 2017-05-25 |
| 1023483823 | Central Oregon Pharmacy and Compounding | Pharmacy | 655 Nw Greenwood Ave Ste 1, Redmond, OR 97756-1672 | 2015-12-04 |
| 1124423793 | Cascade Compounding Center LLC | Pharmacy | 19550 Amber Meadow Dr, Suite 170, Bend, OR 97702-3525 | 2014-10-25 |
| 1841606662 | Redmond Long Term Care Pharmacy LLC | Pharmacy | 424 Nw 5th St Ste A, Redmond, OR 97756-1627 | 2014-07-02 |
| 1114274289 | Precision Compounds, LLC | Pharmacy | 9363 Sw Beaverton Hillsdale Hwy, Beaverton, OR 97005-3360 | 2012-08-08 |
| 1689873242 | New Seasons Market - Happy Valley | Pharmacy | 15861 Se Happy Valley Town Center Dr., Happy Valley, OR 97086 | 2007-07-13 |
| 1356555460 | Highland Park Pharmacy LLC | Pharmacy | 424 Nw 5th St, Redmond, OR 97756 | 2007-05-09 |
| 1578785119 | Pacific Compounds Pharmacy LLC | Pharmacy | 327 Se 3rd Ave, Hillsboro, OR 97123-4001 | 2007-05-03 |
| 1720122427 | Talent Health Rx Inc | Pharmacy | 103 Talent Ave, 223, Talent, OR 97540 | 2007-02-16 |
| Find all providers with the same taxonomy | ||||
| City | WILSONVILLE |
| Zip Code | 97070 |
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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.