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Multnomah County Oregon — NPI 1306851191, Portland, OR | NPI Central

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NPI 1306851191

OrganizationActive

Multnomah County Oregon

NPI 1306851191 · Pharmacy · Portland, OR

Provider details

NPI number: 1306851191
Entity type: Organization
Primary specialty: PharmacySuppliers
Organization subpart: No
Authorized official: Michele Koder, Pharmacy Director(503) 988-7278

Specialties & taxonomies

PharmacyPrimary333600000XLicense RP-0001123-CS (OR)
Suppliers
Clinic Pharmacy3336C0002X
Suppliers
Community/Retail Pharmacy3336C0003X
Suppliers

Practice location

12710 Se Division St

Portland, OR 97236-3134

Phone: (503) 988-3608

Fax: (503) 988-4345

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

619 Nw 6th Ave Fl 7

Portland, OR 97209-3964

Other names (DBA / former)

Doing business as: Midcounty Clinic Pharmacy
Doing business as: Midcounty Clinic Pharmacy

Registry dates

Enumerated: 2006-07-30
Last updated: 2019-11-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.