NPIMap

Organization Active NPI

Oregon Health & Science University

Doing business as Ohsu Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Portland, OR
National Provider Identifier
1346263340
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
RP0000787CS Issued in OR
Legal business name
OREGON HEALTH & SCIENCE UNIVERSITY
Doing business as
Ohsu Outpatient Pharmacy
Practice address
3270 SW Pavilion Loop
Suite PPV 110
Portland, OR 97239-3011
Phone
(503) 494-7570
Fax
(503) 494-5628
NPI assigned
Jul 25, 2006
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

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) 494-8417

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic Pharmacy 3336C0002X NU
Community/Retail Pharmacy 3336C0003X RP0000787CS OR Primary
Institutional Pharmacy 3336I0012X NU

Addresses

Primary practice location

3270 SW Pavilion Loop
Suite PPV 110
Portland, OR 97239-3011

Mailing address

3181 SW Sam Jackson Park Rd
Mail Code: CR9-4 Pharmacy Compliance
Portland, OR 97239-3011
Phone (503) 494-8007

Other identifiers 5

IdentifierTypeStateIssuer
242117MedicaidOR
1043803MedicaidWA
3804160OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PH030ORMedicaidAK
M0034257MedicaidID

Other names 1

  • OHSU OUTPATIENT PHARMACY Doing business as

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930071336 OR DME Supplier - Pharmacy 4284542945 1 other NPI on this enrollment
Practice locations: Portland, 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 Outpatient Pharmacy3270 SW Pavilion Loop, Portland, OR 97239-3011(503) 494-7570 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
Oregon Health Sciences University26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

3181 SW Sam Jackson Park Rd
#9A13
Portland, OR 97239

3181 SW Sam Jackson Park Rd
Ste Ppv
Portland, OR 97239

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1346263340",
    "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: CR9-4 PHARMACY COMPLIANCE",
            "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": "3270 SW PAVILION LOOP",
            "address_2": "SUITE PPV 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393011",
            "telephone_number": "503-494-7570",
            "fax_number": "503-494-5628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON HEALTH & SCIENCE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "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": "503-494-8417"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OR",
            "license": "RP0000787CS",
            "primary": true
        },
        {
            "code": "3336I0012X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Institutional Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "242117",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1043803",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3804160",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PH030OR",
            "state": "AK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M0034257",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OHSU OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OHSU OUTPATIENT PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.