OrganizationActive
Oregon Health and Science University
NPI 1053454645 · Community/Retail Pharmacy · Portland, OR
Provider details
- NPI number
- 1053454645
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Oregon Health and Science University
- Organization subpart
- Yes
- Authorized official
- Kelly Smith, Vice President, Erc(503) 494-8417
- License
- RP-0001639-CS (OR)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Sw Campus Dr Ste 7480
Portland, OR 97239-3107
Phone: (503) 418-5244
Fax: (503) 494-3506
Street-level locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Other names (DBA / former)
- Doing business as
- Ohsu Doernbecher Childrens Hosp. Pharmacy
- Doing business as
- Ohsu Doernbecher Childrens Hosp. Pharmacy
Registry dates
- Enumerated
- 2007-02-14
- Last updated
- 2025-10-06
- Certified
- 2025-10-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.