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PORTLAND PROFESSIONAL PHARMACY
NPI 1659755593
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since July 09, 2015
11717 NE GLISAN ST, PORTLAND, OR 97220(971) 200-8324 Get Directions Write a Review

NPPES record last updated: August 4, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Portland Professional Pharmacy NPPES

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

PORTLAND PROFESSIONAL PHARMACY (NPI 1659755593) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since July 2015. The organization lists Susan Hodge, Manager, as its authorized official.

NPPES Registry Identity

NPI1659755593
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePORTLAND PROFESSIONAL PHARMACY, LLC
Location Address11717 NE GLISAN STPortland, OR 97220-2141
Mailing Address11717 Ne Glisan StPortland, OR 97220-2141 · (702) 203-4797
Phone(971) 200-8324
Organization SubpartNo
Authorized OfficialSusan HodgeManager · (702) 203-4797
Enumeration DateJuly 9, 2015
Last NPPES UpdateAugust 4, 2015
✔ NPI 1659755593 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in OR · RP-0003101-CS
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
11717 NE GLISAN ST, Portland, OR 97220
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Other Names 1

Doing Business AsPortland Professional Pharmacy

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 Portland Professional Pharmacy, LLC's NPI number?

The NPI number for Portland Professional Pharmacy, LLC is 1659755593. It was assigned to this organization in the NPPES registry on July 9, 2015. The provider is doing business as Portland Professional Pharmacy.

Where is Portland Professional Pharmacy, LLC located?

Portland Professional Pharmacy, LLC is located at 11717 NE Glisan St, Portland, OR 97220. The listed phone number is (971) 200-8324.

What is Portland Professional Pharmacy, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Portland Professional Pharmacy, LLC was last updated on August 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.