Oregon Cvs Pharmacy LLC

NPI #1194834481 in Clackamas, Oregon

Provider Information

NPI Number: 1194834481
Entity Type: Organization
Organization Name: Oregon Cvs Pharmacy LLC
Primary Specialty: Pharmacy
Enumeration Date: Aug 30, 2006
Last Updated: Sep 19, 2025

Practice Location

Address: 12002 SOUTHEAST SUNNYSIDE ROAD
Address 2: SUNNYSIDE MARKETPLACE
City: Clackamas
State: Oregon
ZIP Code: 97015-8381
Phone: (503) 698-8446

Authorized Official

Name: SUSAN F COLBERT
Title: SR. DIRECTOR, PAYER RELATIONS
Phone: (401) 770-2751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X
Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy	3336C0003X
Pharmacy	333600000X	Primary

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