Ryan White Part A · OR
MULTNOMAH COUNTY
- 0Registered locations
- 3Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 July 2017In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “MULTNOMAH COUNTY” (340B ID RWI97204A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/RWI97204A
Register detail and identifiers
Participation, as filed
- Participating
- FALSE
- Participation start date
- 1 July 2017
- Termination date
- 1 January 2022
- Termination reason
- Business decision by the Covered Entity
- Certification date
- 24 February 2021
- Record last edited
- 1 January 2022
Identifiers
- 340B ID
- RWI97204A
- Entity type as filed
- RWI
- Grant number
- H89HA00040
- NPI
- 1376900399 (OR)
12425 NE GLISAN ST., PORTLAND OR 97230
Associated locations
| Organization | Address | Where |
|---|---|---|
| MULTNOMAH COUNTY | 12425 NE GLISAN ST. | PORTLAND OR 97230 |
| MIDCOUNTY CLINIC PHARMACY | 12710 SE DIVISION | Portland OR 97236 |
| SOUTHEAST HEALTH CENTER PHARMACY | 3653 SE 34TH AVE | PORTLAND OR 97202 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.