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Organization Active NPI

Rockwood Health Clinic Pharmacy

Doing business as Multnomah County Oregon- Rockwood Health Clinic Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1255645271
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP-0002610-CS Issued in OR
Legal business name
ROCKWOOD HEALTH CLINIC PHARMACY
Doing business as
Multnomah County Oregon- Rockwood Health Clinic Pharmacy
Practice address
2020 SE 182ND Ave
Portland, OR 97233-5692
Phone
(503) 988-3353
Fax
(503) 988-4345
NPI assigned
Aug 2, 2010
Last updated
Feb 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Authorized official

Name
Michele Koder
Title
Director of Pharmacy
Phone
(503) 988-7278

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X RP-0002610-CS OR Primary

Addresses

Primary practice location

2020 SE 182ND Ave
Portland, OR 97233-5692

Mailing address

619 NW 6TH Ave FL 7
Portland, OR 97209-3964
Phone (503) 988-3353

Other names 1

  • Multnomah County Oregon- Rockwood Health Clinic Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Multnomah County Human89 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580688000000",
    "number": "1255645271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 NW 6TH AVE FL 7",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093964",
            "telephone_number": "503-988-3353",
            "fax_number": "503-988-4345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SE 182ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972335692",
            "telephone_number": "503-988-3353",
            "fax_number": "503-988-4345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKWOOD HEALTH CLINIC PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-02",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A",
        "authorized_official_last_name": "KODER",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "503-988-7278"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP-0002610-CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Multnomah County Oregon- Rockwood Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Multnomah County Oregon- Rockwood Health Clinic Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.