Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avita Drugs Oregon, LLC

Organization Community/Retail Pharmacy · NPI 1760250567

Avita Drugs Oregon, LLC is a Community/Retail Pharmacy in Portland, Oregon. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15 N Morris St Ste A
Portland, OR 97227-1541
Phone: (469) 592-2011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X

Record details

NPI number1760250567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ashley Ellis — Corporate Counsel · (704) 641-7967
Other names Avita Pharmacy 1078
NPI enumeratedDecember 12, 2023
Last updated in NPPESDecember 12, 2023
Certification dateDecember 12, 2023
Mailing address10604 Coursey Blvd, Baton Rouge, LA 70816-4015

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