NPI: 1609896174 · PORTLAND, OR 97210 · Community/Retail Pharmacy · NPI assigned 07/20/2006
Authorized official JENSEN, SARAH controls 20+ related entities in our dataset. Read more
| Authorized Official | JENSEN, SARAH (VP FINANCE) |
| Parent Organization | LEGACY GOOD SAMARITAN HOSPITAL AND MEDICAL |
| NPI Enumeration Date | 07/20/2006 |
Other providers sharing the same authorized official: JENSEN, SARAH
| Year | Claims | Total Paid |
|---|---|---|
| 2021 | 485 | $747.70 |
| 2022 | 2,988 | $2K |
| 2023 | 866 | $924.21 |
| 2024 | 42 | $9.91 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| J7507 | Tacrolimus, immediate release, oral, 1 mg | 810 | 525 | $3K |
| J7517 | Mycophenolate mofetil, oral, 250 mg | 591 | 398 | $738.70 |
| Q0511 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period | 808 | 580 | $148.62 |
| J7512 | Prednisone, immediate release or delayed release, oral, 1 mg | 700 | 495 | $126.10 |
| Q0512 | Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | 1,472 | 573 | $85.44 |