Unknown Individual – Pharmacist, NPI 1053415208
Pharmacist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1121, Northeast 2nd Avenue, Lloyd District, Portland, Metro, Multnomah County, Oregon, 97232, United States
OREGON STATE HOSPITAL PORTLAND
PORTLAND, OR 97232
Phone: (503) 731-8682
Type: Location
PO BOX 14900
STATE OF OREGON OREGON STATE HOSPITAL ITRS UNIT
SALEM, OR 973095016
Phone: (503) 945-9840
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97232)
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