| NPI | 1437624046 |
|---|---|
| Other Name | BLACKBURN PHARMACY |
| Entity Type | Organization |
| Authorized Contact | ANDREW B MENDENHALL President & CEO 503-294-1681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0002X Pharmacy, Clinic Pharmacy |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2026-04-09 |