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

Portland Professional Pharmacy, LLC

Organization Community/Retail Pharmacy · NPI 1659755593

Portland Professional Pharmacy, LLC is a Community/Retail Pharmacy in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2015.

Licensed in
OR
In the registry since
2015
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

11717 NE Glisan St
Portland, OR 97220-2141
Phone: (971) 200-8324
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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 RP-0003101-CS (OR)

Record details

NPI number1659755593
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Hodge — Manager · (702) 203-4797
Other names Portland Professional Pharmacy
NPI enumeratedJuly 9, 2015
Last updated in NPPESAugust 4, 2015
Mailing address11717 Ne Glisan St, Portland, OR 97220-2141

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