Oregon Department of Corrections

NPI #1609690908 in Portland, Oregon

Provider Information

NPI Number
1609690908
Entity Type
Organization
Organization Name
Oregon Department of Corrections
Subpart
Yes (part of a larger organization)
Parent Organization
OREGON DEPARTMENT OF CORRECTIONS
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
Nov 13, 2024
Last Updated
Nov 13, 2024

Practice Location

Address
9111 NE SUNDERLAND AVE
State
Oregon
ZIP Code
97211
Phone
(503) 428-9443

Authorized Official

Name
ROB CORY NUTT
Title
CHIEF PHARMACY OFFICER
Phone
(503) 986-6967

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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