340B Drug Pricing Program Database
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CH10112AL MULTNOMAH COUNTY (Active)
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Main Details
Name
MULTNOMAH COUNTY
Subdivision Name
DAVID DOUGLAS HIGH SCHOOL STUDENT HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010293
340B ID
CH10112AL
Grant Number
H80CS00149
Additional Details
Current Program Status
Active
Registration Date
4/4/2016
Participating Start Date
7/1/2016
Participating Approval Date
4/8/2016
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Multnomah County
Jenna Green, Community Health Center Interim Executive Director
(503) 988-6734
Primary Contact
Multnomah County
Astrid Hollensteiner, Pharmacy Program Analyst
(503) 988-8850
Addresses
Street Address
1034 SE 130th Ave
Portland, OR 97233-1616
Billing Address
DAVID DOUGLAS HIGH SCHOOL STUDENT HEALTH CENTER
619 NW 6th Ave.
5th Floor
Portland, OR 97209
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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