NPIMap

Organization Active NPI

Oregon Health & Science University

  • Community/Retail Pharmacy
  • Beaverton, OR
National Provider Identifier
1114164381
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Practice address
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone
(971) 262-9110
Fax
(971) 262-9364
NPI assigned
Jan 9, 2009
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
OREGON HEALTH & SCIENCE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Anne Smith
Title
Vice President, Erc
Phone
(503) 494-8007

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP-0002504-CS OR
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X Primary
Institutional Pharmacy 3336I0012X RP-0002504-CS OR

Addresses

Primary practice location

15700 SW Greystone CT
Beaverton, OR 97006-6011

Mailing address

3181 SW Sam Jackson Park Rd
Mail Code: CR 9-4
Portland, OR 97239-3011
Phone (503) 494-8007

Other names 1

  • OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110202000595 OR DME Supplier - Pharmacy 4284542945 Practice locations: Beaverton, OR
O20181127001493 OR Part B Supplier - Mass Immunization (Roster Biller Only) 4284542945 6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portland, OR; Hillsboro, OR; Beaverton, OR

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Ohsu Beaverton Pharmacy15700 SW Greystone CT, Beaverton, OR 97006-6011(971) 262-9110 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) Accepts assignmentParticipating since Jul 1, 1995

National Provider Directory

National Provider Directory
Tax ID family
Ohsu Hospitals Clinic26 organizations share this tax ID, including this one
Part of
Ohsu Hospitals Clinic

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

9315 SW Nimbus Ave
Beaverton, OR 97008
Phone (503) 346-3470

333 SE 7th Ave
Ste 1500
Hillsboro, OR 97123
Phone (503) 516-0117

6355 NE Cornell Rd
Ste 165
Hillsboro, OR 97124
Phone (503) 418-3376

6355 NE Cornell Rd
Ste 201
Hillsboro, OR 97124
Phone (503) 418-2116

16699 Boones Ferry Rd
Ste 210
Lake Oswego, OR 97035
Phone (503) 346-0500

10000 SE Main St
Ste 250
Portland, OR 97216
Phone (503) 346-6844

10000 SE Main St
Ste 260
Portland, OR 97216
Phone (503) 346-1500

1130 NW 22nd Ave
Ste 150
Portland, OR 97210
Phone (971) 262-9600

2525 SW 3rd Ave
Ste 350
Portland, OR 97201
Phone (503) 494-0717

2611 SW 3rd Ave
Ste 360
Portland, OR 97201
Phone (503) 494-8394

3303 S Bond Ave
Rm 1150
Portland, OR 97239
Phone (503) 494-8007

707 SW Gaines St
Portland, OR 97239
Phone (503) 492-2709

15350 SW Pacific Hwy
Tigard, OR 97224
Phone (503) 620-0721

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ohsu Hospitals and ClinicsPortland, OR, CCN 380009 Hospital 5% Or Greater Direct Ownership Interest (100%) Jul 1, 1995
Hillsboro Medical CenterHillsboro, OR, CCN 380021 Hospital Operational/Managerial Control Feb 1, 2016
Tuality HealthcareHillsboro, OR, CCN 38S021 Hospital Operational/Managerial Control Feb 1, 2016
Ohsu Family Medicine at RichmondPortland, OR, CCN 381884 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1995
Jul 1, 1995
Richmond Immediate CarePortland, OR, CCN 381938 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 10, 2013
Jun 10, 2013
Ohsu Health Family Medicine, East Portland Community Health CenterPortland, OR, CCN 381028 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Feb 15, 2024
Feb 15, 2024
Ohsu Family Medicine at ScappooseScappoose, OR, CCN 383849 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jul 1, 1995
Jul 1, 1995

Owned or controlled facilities with NPI records 17

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 17

Practitioners & affiliated clinicians

Practitioners 97

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 97

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1114164381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3181 SW SAM JACKSON PARK RD",
            "address_2": "MAIL CODE: CR 9-4",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-8007",
            "fax_number": "503-494-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 SW GREYSTONE CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066011",
            "telephone_number": "971-262-9110",
            "fax_number": "971-262-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "enumeration_date": "2009-01-09",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "VICE PRESIDENT, ERC",
        "authorized_official_telephone_number": "503-494-8007"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP-0002504-CS",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "OR",
            "license": "RP-0002504-CS",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "OHSU Knight Cancer Institute-Beaverton Hematology and Oncology Outpati",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

Verify at the official NPI Registry.