OrganizationActive
Professional 205 Pharmacy
NPI 1639521149 · Community/Retail Pharmacy · Portland, OR
Professional 205 Pharmacy is a Community/Retail Pharmacy organization in Portland, OR (NPI 1639521149).
Provider details
- NPI number
- 1639521149
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Hodge, Owner(503) 255-2546
- License
- RP,0000689 (OR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
10000 Se Main St Ste 118
Portland, OR 97216-2462
Phone: (503) 255-2546
Fax: (503) 255-3893
Street-level locationGet directions
Mailing address
10000 Se Main St Ste 118
Portland, OR 97216-2462
Other names (DBA / former)
- Doing business as
- Professional Center 205 Pharmacy
Registry dates
- Enumerated
- 2016-07-08
- Last updated
- 2016-08-17
Frequently asked questions
- What is Professional 205 Pharmacy's NPI number?
- Professional 205 Pharmacy's National Provider Identifier (NPI) is 1639521149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional 205 Pharmacy?
- Professional 205 Pharmacy is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Professional 205 Pharmacy located?
- Professional 205 Pharmacy's practice location on file with NPPES is 10000 Se Main St Ste 118, Portland, OR 97216-2462.
- What is Professional 205 Pharmacy's phone number?
- The practice phone number listed in the NPPES registry for Professional 205 Pharmacy is (503) 255-2546.
- Who is the authorized official for Professional 205 Pharmacy?
- The authorized official listed on Professional 205 Pharmacy's NPPES record is Susan Hodge, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional 205 Pharmacy's NPI active?
- Yes — Professional 205 Pharmacy's NPI (1639521149) is active in the NPPES registry as of the last update on 2016-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.