OHSU Home Infusion Pharmacy – Pharmacy, NPI 1073054714
Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for OHSU Home Infusion Pharmacy
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
ATTN: ARLENE GAVALIS - MAIL CODE: 9A13
PORTLAND, OR 972393011
Phone: (503) 494-8007
Type: Mailing
1400 SW 5TH AVE STE 500
PORTLAND, OR 972015537
Phone: (503) 494-8417
Fax: (503) 346-8015
Type: Mailing
9317, Southwest Nimbus Avenue, Greenway, Beaverton, Metro, Washington County, Oregon, 97008, United States
BEAVERTON, OR 97008
Phone: (503) 346-3850
Fax: (503) 346-3851
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2021-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2026-03-31 (71 days ago).
Enrollment records
2
Earliest due date
2026-03-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20170925001035 | O | Pharmacy | OR | 2026-03-31 |
| O20210224002590 | O | Home Infusion Therapy Supplier | OR | 2026-10-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97239)
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