340B Drug Pricing Program Database
Home
Search
Search Covered Entities
Search Contract Pharmacies
Search Manufacturers
Reports
Help
Login
GENOA HEALTHCARE LLC
FQHCLA433E Cascadia Health
Print
Covered Entity Details
Entity Name
Cascadia Health
Subdivision Name
Cascadia Plaza Health Center 200
Type
Health Center Program Look-Alike
340B ID
FQHCLA433E
Entity Address
4212 SE Division Street STE 200
Portland, OR 97206-1600
Grant Number
LALCS40208
Participating Start Date
1/1/2023
Last Recertification Date
2/14/2025
Pharmacy Details
Pharmacy Name
GENOA HEALTHCARE LLC
Pharmacy Address
18417 SE OAK STREET
PORTLAND, OR 97233
Pharmacy Comments
Contract Details
Approval Date
1/13/2023
Contract Begin Date
4/1/2023
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Derald Walker, President/CEO
(503) 238-0769
Contract Pharmacy Representative
Optum Rx 340B
Eric Howard, National Account Manager
(503) 601-9663
Signed By Date
1/13/2023
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