Individual provider · Type 1 NPI

Scott Wallis, RPH

Pharmacist · Portland, OR

NPI number 1013369743 Active

Practice location

5717 NE 138th Ave
Portland, OR 97230-3409

Call (503) 261-7541 Map

Mailing address

8155 SW Birchwood Rd
Portland, OR 97225-2737

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X9033 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X9033 (OR)

Pharmacist: An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage…

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About NPI 1013369743

Scott Wallis, RPH's National Provider Identifier is 1013369743, issued on Jul 6, 2016. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Jul 6, 2016.