340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
DSH380060A Adventist Medical Center-Portland (Terminated)
Print
Main Details
Name
Adventist Medical Center-Portland
Subdivision Name
Adventist Hospice-Portland
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH380060A
Medicare Provider Number
380060
Outpatient Facility Provider Number
381507
Additional Details
Current Program Status
Terminated
Registration Date
9/1/2011
Participating Start Date
10/1/2011
Participating Approval Date
9/14/2011
Last Recertification Date
9/3/2014
Termination Date
Termination Reason
7/1/2015
Site closure
Contacts
Authorizing Official
Adventist Health Portland
Donald E. Welch, CFO
(503) 261-4406
Primary Contact
Janice Hogue, Director, Pharmacy Services
(503) 251-6142
Addresses
Street Address
5835 NE 122nd Ave, #135
Portland, OR 97230
Billing Address
Adventist Hospice
5835 NE 122nd Avenue
Suite 135
Portland, OR 97230
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
History
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
Comment
Last Updated On
1
Item
0
to
0
of
0
Page:
of 1
Go
Page size:
Change
No records to display.
May 2025
May 2025
week
S
M
T
W
T
F
S
18
27
28
29
30
1
2
3
19
4
5
6
7
8
9
10
20
11
12
13
14
15
16
17
21
18
19
20
21
22
23
24
22
25
26
27
28
29
30
31
23
1
2
3
4
5
6
7
NoFilter
Contains
DoesNotContain
StartsWith
EndsWith
EqualTo
NotEqualTo
GreaterThan
LessThan
GreaterThanOrEqualTo
LessThanOrEqualTo
Between
NotBetween
IsEmpty
NotIsEmpty
IsNull
NotIsNull
Custom
Continue Your Session
For security reasons inactive sessions are automatically closed.
Your session will be closed shortly if you don't continue it.
Continue Your Session