OrganizationActive
Fred Meyer Pharmacy
NPI 1619385259 · Clinical Medical Laboratory · Portland, OR
Provider details
- NPI number
- 1619385259
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Authorized official
- Joel Coffey, Pharmacy Manager
- License
- RPH-0014163 (OR)
Practice location
3030 Ne Weidler St
Portland, OR 97232-1851
Phone: (503) 280-1333
Fax: (503) 233-1327
Mailing address
3030 Ne Weidler St
Portland, OR 97232-1851
Registry dates
- Enumerated
- 2014-07-28
- Last updated
- 2014-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.