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

Fred Meyer Stores Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1720023898

Fred Meyer Stores Inc is a Durable Medical Equipment & Medical Supplies in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2006.

Licensed in
OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1111 NE 102nd Ave
Portland, OR 97220-3902
Phone: (503) 255-5494
Fax: (503) 251-5522
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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 · Licence RP0000057CS (OR)
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Pharmacy Taxonomy 333600000X

Record details

NPI number1720023898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Allison Muennich — Manager Of Pharmacy Licensing · (513) 762-1019
Other names Fred Meyer Pharmacy
NPI enumeratedJune 20, 2006
Last updated in NPPESJune 29, 2016
Mailing addressPo Box 842772, Boston, MA 02284-2772

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