340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

CREDENA HEALTH PHARMACY ST VINCENT
DSH380061 PROVIDENCE PORTLAND MEDICAL CENTER

Covered Entity Details

Disproportionate Share Hospital
DSH380061
4805 NE GLISAN ST
PORTLAND, OR 97213
380061
7/1/2015
9/4/2024


Pharmacy Details

9155 SW BARNES RD STE 102
PORTLAND, OR 97225-6625

Contract Details

4/14/2019
7/1/2019


Contacts


Eric Olson, Chief Financial Officer
(503) 215-6241



Providence. Health & Services
John Evans, Director, Retail Ops
(503) 215-6296
4/14/2019