340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA433 Cascadia Health
Print
Covered Entity Details
Entity Name
Cascadia Health
Subdivision Name
Cascadia Woodland Park Health Center
Type
Health Center Program Look-Alike
340B ID
FQHCLA433
Entity Address
10373 NE Hancock St Ste 125
Portland, OR 97220-3873
Grant Number
LALCS40208
Participating Start Date
3/7/2022
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
3036 NE MARTIN LUTHER KING JR BLVD
STE 136
PORTLAND, OR 97212
Pharmacy Comments
Contract Details
Approval Date
4/14/2022
Contract Begin Date
7/1/2022
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derald Walker, President/CEO
(503) 238-0769
Contract Pharmacy Representative
Avella
Nancy McCutcheon, Sr VP of Strategic Sales
(651) 983-0677
Signed By Date
4/14/2022
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