OrganizationActive
Providence Health & Services - Oregon
NPI 1336223171 · Long Term Care Pharmacy · Portland, OR
Provider details
- NPI number
- 1336223171
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Parent organization
- Providence Health & Services - Oregon
- Organization subpart
- Yes
- Authorized official
- Donald Anderson, Assistant Secretary Enrollments(425) 358-9786
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(90/100 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
6410 Ne Halsey St
Suite 400
Portland, OR 97213-4742
Phone: (503) 215-4633
Fax: (503) 215-0576
Street-level locationGet directions
Mailing address
Po Box 5936b
Portland, OR 97228-5936
Other names (DBA / former)
- Doing business as
- Providence Specialty Pharmacy Services-Ltc
- Doing business as
- Providence Specialty Pharmacy Services-Ltc
Registry dates
- Enumerated
- 2006-10-25
- Last updated
- 2025-05-16
- Certified
- 2025-05-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.