340B Drug Pricing Program Database

Office of Pharmacy Affairs Logo

FRED MEYER
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

1111 NE 102ND AVENUE
PORTLAND, OR 97220

Contract Details

7/12/2019
10/1/2019


Contacts


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



Kroger
Anastasia Frey, Senior Manager, Payor Contracting
(513) 698-1875
7/12/2019