MULTNOMAH COUNTY OREGON
600 Ne 8th St Fl 3
Gresham, OR 97030
503-988-5154
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 3336C0002X | Suppliers - Pharmacy - Clinic Pharmacy | ||
N | 3336C0003X | Suppliers - Pharmacy | ||
Y | 333600000X | Suppliers - Pharmacy | OR | RP-0000953-CS |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2078376 | OTHER | |
123729 | OR | MEDICAID |