Providence Health & Services Oregon
Providence Health & Services Oregon is a Community/Retail Pharmacy in Tigard, Oregon. Licensed in Oregon. Registered with an NPI since 2010.
- Licensed in
- OR
- In the registry since
- 2010
Practice location Address checks out
18040 SW Lowr Boones Ferry RD Ste 104Tigard, OR 97224-7259
Phone: (503) 216-0625
Fax: (503) 216-0630
Show map & directions
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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-0002571-CS (OR) |
|---|
Record details
| NPI number | 1922330828 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Donald Anderson — Assistant Secreatry For Enrollment · (425) 358-9786 |
| Other names | Providence Bridgeport Pharmacy |
| NPI enumerated | February 3, 2010 |
| Last updated in NPPES | July 8, 2025 |
| Certification date | July 8, 2025 |
| Mailing address | 18040 Sw Lower Boones Ferry Rd, Suite 104, Tigard, OR 97224-7258 |
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-
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