OrganizationActive
Multnomah County
NPI 1528073319 · Pharmacy · Portland, OR
Provider details
- NPI number
- 1528073319
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Authorized official
- Michele Koder, Pharmacy Director
Practice location
5329 Ne Martin L King Fl Jrblvd2
Portland, OR 97211-3237
Phone: (503) 988-3634
Fax: (503) 988-4345
Mailing address
619 Nw 6th Ave Fl 7
Portland, OR 97209-3964
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.