OrganizationActive
Portland Professional Pharmacy, LLC
NPI 1659755593 · Community/Retail Pharmacy · Portland, OR
Provider details
- NPI number
- 1659755593
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Hodge, Manager(702) 203-4797
- License
- RP-0003101-CS (OR)
Specialties & taxonomies
Suppliers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
11717 Ne Glisan St
Portland, OR 97220-2141
Phone: (971) 200-8324
Street-level locationGet directions
Mailing address
11717 Ne Glisan St
Portland, OR 97220-2141
Other names (DBA / former)
- Doing business as
- Portland Professional Pharmacy
Registry dates
- Enumerated
- 2015-07-09
- Last updated
- 2015-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.