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ADVENTIST MEDICAL CENTER PHARMACY
NPI 1790752533
Pharmacy - Community/Retail Pharmacy in Portland, OR

Active since March 01, 2006CLIA Certified · 2 labs
10123 SE MARKET ST, PORTLAND, OR 97216(503) 251-6141(503) 261-6643 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adventist Medical Center Pharmacy NPPES

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

ADVENTIST MEDICAL CENTER PHARMACY (NPI 1790752533) is a healthcare organization registered as a community/retail pharmacy in Portland, Oregon and active in the NPI registry since March 2006. The organization holds 2 active CLIA laboratory certificates and lists Joyce L Newmyer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790752533
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePORTLAND ADVENTIST MEDICAL CENTER
Location Address10123 SE MARKET STPortland, OR 97216-2532
Mailing AddressPo Box 16800Portland, OR 97292-0800 · (503) 251-6141 · Fax (503) 261-6643
Phone(503) 251-6141
Fax(503) 261-6643
Organization SubpartYes
Authorized OfficialJoyce L NewmyerCeo · (503) 257-2500
Enumeration DateMarch 1, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1790752533 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-0000889-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.
10123 SE MARKET ST, Portland, OR 97216
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Other Names 1

Doing Business AsAdventist Medical Center Pharmacy

Other Identifiers 2

Medicaid269070OR
Medicaid275183OR

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 38D0064660

Adventist Medical Center · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0064660
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Dustin V. Shackleton
Laboratory Phone(503) 251-6134
Laboratory LocationAdventist Medical Center10123 SE Market St, Portland, OR 97216
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 38D0624255

Adventist Medical Center Lab · Portland, OR
Active · expires Dec 31, 2027
CLIA Number38D0624255
Laboratory TypeHospital
Certificate Effective DateJanuary 1, 2026
Certificate Expiration DateDecember 31, 2027
Laboratory DirectorDr. Dustin V. Shackleton
Laboratory Phone(503) 251-6129
Laboratory LocationAdventist Medical Center Lab10123 SE Market St, Portland, OR 97216
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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.

MELISSA CHRISTINE HOSEY RN
Student in an Organized Health Care Education/Training Program
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (509) 335-6424
MRS. SAMANTHA LANCASTER RN-BC
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
DR. HANI DARWICH MD
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 252-2004
ADRIENNE E SOUCY MD
Hospitalist
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
AUSTIN W SMITH CRNA
Nurse Anesthetist, Certified Registered
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
NAM THANH TRINH MD
Emergency Medicine
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
KURT DYKHUIZEN D.O.
Anesthesiology
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500
LAVON ANN TURNER RN
Registered Nurse
10123 SE MARKET ST
PORTLAND, OR 97216
Multnomah County (503) 257-2500

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 Adventist Medical Center's NPI number?

The NPI number for Portland Adventist Medical Center is 1790752533. It was assigned to this organization in the NPPES registry on March 1, 2006. The provider is doing business as Adventist Medical Center Pharmacy.

Where is Portland Adventist Medical Center located?

Portland Adventist Medical Center is located at 10123 SE Market St, Portland, OR 97216. The listed phone number is (503) 251-6141.

What is Portland Adventist Medical Center's specialty?

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

Does Portland Adventist Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Portland Adventist Medical Center was last updated on August 21, 2014. 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.