OrganizationActive
Columbia Pharmacy LLC
NPI 1104121938 · Community/Retail Pharmacy · Portland, OR
Provider details
- NPI number
- 1104121938
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Hanh Nguyen, Manager(206) 245-5010
Specialties & taxonomies
Suppliers
- Mail Order Pharmacy3336M0002X
Suppliers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
8122 Se Tibbetts St.
Portland, OR 97206
Phone: (503) 777-7055
Fax: (503) 384-2417
Street-level locationGet directions
Mailing address
8122 Se Tibbetts St.
Portland, OR 97206
Registry dates
- Enumerated
- 2011-01-26
- Last updated
- 2020-06-17
- Certified
- 2020-06-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.