| NPI | 1770713224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANNE SMITH Vice President, Erc 503-494-8417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 3336C0003X Pharmacy Community/Retail Pharmacy (Licence: OR RP-0002907-CS) |
| Additional Taxonomies | 3336I0012X Pharmacy Institutional Pharmacy (Licence: OR RP-0002907-CS) |
| 3336S0011X Pharmacy Specialty Pharmacy | |
| Enumeration Date | 2009-07-17 |
| Last Update Date | 2025-10-06 |