Individual provider · Type 1 NPI

Jessica Mae Dizon, PharmD, MHA, BCPS

Pharmacist · Portland, OR

NPI number 1275919938 Active

Practice location

315 SW 5th Ave
Portland, OR 97204-1703

Call (503) 416-3917 Map

Mailing address

2717 SW 2nd Ave Apt 1
Portland, OR 97201-4769

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000X22590 (IA)
Pharmacist Primary 183500000X0016037 (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 1275919938

Jessica Mae Dizon, PharmD, MHA, BCPS's National Provider Identifier is 1275919938, issued on Aug 5, 2015. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.