MIDCOUNTY CLINIC PHARMACY
NPI 1306851191
Pharmacy in Portland, OR

Q: What is Multnomah County Oregon's NPI number?

The NPI number for Multnomah County Oregon is 1306851191. It was assigned to this organization in the NPPES registry on July 30, 2006. The provider is doing business as Midcounty Clinic Pharmacy.

Q: What is Multnomah County Oregon's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since July 30, 2006

12710 SE DIVISION ST, PORTLAND, OR 97236(503) 988-3608(503) 988-4345 Get Directions Write a Review

NPPES record last updated: November 8, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 8, 2019, Mar 18, 2019, Oct 14, 2016 (3 updates tracked since 2016).

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About Midcounty Clinic Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDCOUNTY CLINIC PHARMACY (NPI 1306851191) is a healthcare organization registered as a pharmacy in Portland, Oregon and active in the NPI registry since July 2006. The organization lists Michele Koder, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1306851191

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMULTNOMAH COUNTY OREGON

Location Address12710 SE DIVISION STPortland, OR 97236-3134

Mailing Address619 Nw 6th Ave Fl 7Portland, OR 97209-3964 · (503) 988-3608 · Fax (503) 988-4345

Phone(503) 988-3608

Fax(503) 988-4345

Organization SubpartNo

Authorized OfficialMichele KoderPharmacy Director · (503) 988-7278

Enumeration DateJuly 30, 2006

Last NPPES UpdateNovember 8, 20193 updates tracked since enumeration

✔ NPI 1306851191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

License✔ Licensed in OR · RP-0001123-CS

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

12710 SE DIVISION ST, Portland, OR 97236

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Other Names 1

Doing Business AsMidcounty Clinic Pharmacy

Other Identifiers 2

Other2078377Pk

Medicaid025192OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SERGEY Y KIRPICHENKO DMD

Dentist (General Practice)