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

Oregon Cvs Pharmacy LLC

Organization Durable Medical Equipment & Medical Supplies · NPI 1063090710

Oregon Cvs Pharmacy LLC is a Durable Medical Equipment & Medical Supplies in Lake Oswego, Oregon. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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

4025 Mercantile Dr Ste 110
Lake Oswego, OR 97035-2551
Phone: (503) 387-8167
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacy (primary) Taxonomy 333600000X
Durable Medical Equipment & Medical Supplies Taxonomy 332B00000X
Community/Retail Pharmacy Taxonomy 3336C0003X

Record details

NPI number1063090710
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Colbert — Sr Director, Payer Relations · (401) 770-2751
Other names Cvs Pharmacy 11283; Cvs Pharmacy 11283
NPI enumeratedApril 1, 2021
Last updated in NPPESMay 12, 2021
Certification dateMay 12, 2021
Mailing address1 Cvs Dr # 1075, Woonsocket, RI 02895-6146

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