Oregon Compounding Centers, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

RP0001594CS Issued in OR

Legal business name

OREGON COMPOUNDING CENTERS, INC.

Practice address

8560 SW Salish LN Ste 100
Wilsonville, OR 97070-9625

Phone

(503) 685-6111

Fax

(503) 570-2831

NPI assigned

Jan 10, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Denise Burnham, RPH

Title

Pharmacist in Charge/President

Phone

(503) 685-6111

Specialties & licenses 1

Addresses

Other names 1

• Creative Compounds Doing business as

Locations

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386201600000",
    "number": "1922284751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8560 SW SALISH LN STE 100",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709625",
            "telephone_number": "503-685-6111",
            "fax_number": "503-570-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 SW SALISH LN STE 100",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709625",
            "telephone_number": "503-685-6111",
            "fax_number": "503-570-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON COMPOUNDING CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2013-12-05",
        "status": "A",
        "authorized_official_last_name": "BURNHAM",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE/PRESIDENT",
        "authorized_official_telephone_number": "503-685-6111",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "OR",
            "license": "RP0001594CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Creative Compounds",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor L Odom
• Bret Markus Olsen, CADC I
• Jennifer Lindsey Olsen, CADC,
• Jeanine Rae Olson, NP
• Jane Christine Olyaei, BSPHARM
• Oregon CVS Pharmacy LLC
• Oregon Department of Corrections
• Oregon Regeneration Stem Cell Medical Center, LLC
• Oregon Sports Medicine Associates
• Emmalyn Grace Pangindian Ortiz, PT, DPT

• Compounding Pharmacy in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Compounding Pharmacy in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2013; 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.