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SOUTHEAST HEALTH CLINIC PHARMACY
NPI 1396087631
Pharmacy - Clinic Pharmacy in Portland, OR

Active since March 25, 2013
3653 SE 34TH AVE, PORTLAND, OR 97202(503) 988-5423(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 19, 2019 (2 updates tracked since 2019).

About Southeast Health Clinic Pharmacy NPPES

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

SOUTHEAST HEALTH CLINIC PHARMACY (NPI 1396087631) is a healthcare organization registered as a clinic pharmacy in Portland, Oregon and active in the NPI registry since March 2013. The organization lists Michele Koder, Pharmacy Director, as its authorized official.

NPPES Registry Identity

NPI1396087631
Entity TypeOrganization
Primary Taxonomy3336C0002X
Legal Business NameMULTNOMAH COUNTY OREGON
Location Address3653 SE 34TH AVEPortland, OR 97202-3034
Mailing Address619 Nw 6th Ave Fl 7Portland, OR 97209-3964 · (503) 988-5423 · Fax (503) 988-4345
Phone(503) 988-5423
Fax(503) 988-4345
Organization SubpartNo
Authorized OfficialMichele KoderPharmacy Director · (503) 988-7278
Enumeration DateMarch 25, 2013
Last NPPES UpdateNovember 8, 20192 updates tracked since enumeration
✔ NPI 1396087631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Clinic PharmacySuppliers
Taxonomy Code3336C0002X
License✔ Licensed in OR · RP-0002772-CS
Definition

A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.

3653 SE 34TH AVE, Portland, OR 97202
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Other Names 1

Doing Business AsSoutheast Health Clinic Pharmacy

Other Identifiers 2

Medicaid123620OR
Other3844621Ncpdp Provider Identification Number

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 ›

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. ALEXANDER GREGORY BRODSKY DMD
Dentist (Dental Public Health)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
MS. ADRIENNE BROOKE REED RDH
Dental Hygienist
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-5558
MS. ALICIA JOY PLUMB D.D.S
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
MULTNOMAH COUNTY
Clinic/Center (Public Health, State or Local)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-3663
CARLA REMESCHATIS CHW
Community Health Worker
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-6628
MULTNOMAH COUNTY
Clinic/Center (Federally Qualified Health Center (FQHC))
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 988-4410
THERESA EMILY CHIAPPE
Internal Medicine
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 780-9522
DR. JEANINE LEA HERZOG DMD
Dentist (General Practice)
3653 SE 34TH AVE
PORTLAND, OR 97202
Multnomah County (503) 665-9616

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Multnomah County Oregon's NPI number?

The NPI number for Multnomah County Oregon is 1396087631. It was assigned to this organization in the NPPES registry on March 25, 2013. The provider is doing business as Southeast Health Clinic Pharmacy.

Where is Multnomah County Oregon located?

Multnomah County Oregon is located at 3653 SE 34th Ave, Portland, OR 97202. The listed phone number is (503) 988-5423.

What is Multnomah County Oregon's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Clinic Pharmacy, with taxonomy code 3336C0002X.

What insurance does Multnomah County Oregon accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Multnomah County Oregon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Multnomah County Oregon was last updated on November 8, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.