340B Drug Pricing Program Database
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DSH380009DZ OREGON HLTH SCIENCE CENTER (Terminated)
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Main Details
Name
OREGON HLTH SCIENCE CENTER
Subdivision Name
OHSU CWH - CWH FACULTY HOSP KPV
Type
Disproportionate Share Hospital
Rural
Yes
340B ID
DSH380009DZ
Medicare Provider Number
380009
Outpatient Facility Provider Number
Additional Details
Current Program Status
Terminated
Registration Date
7/6/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/30/2021
Last Recertification Date
9/6/2022
Termination Date
Termination Reason
10/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
OHSU
Joe E Ness, SVP and Chief Operating Officer
(503) 720-7616
Primary Contact
OHSU
Jennifer Zanon, Director Pharmacy Services; Regulatory Compliance
(503) 418-1286
Addresses
Street Address
808 SW Campus Dr Kohler Pavilion, 7th floor
Portland, OR 97239
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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