Individual provider · Type 1 NPI

Srilatha Tavisala, PharmD

Pharmacist · Portland, OR

NPI number 1497003370 Active

Practice location

7700 NE Ambassador Pl, 103
Portland, OR 97220-1394

Call (971) 230-0555 Map

Mailing address

3939 SW Bond Ave, 530
Portland, OR 97239-4706

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Primary 183500000X0013282 (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 1497003370

Srilatha Tavisala, PharmD's National Provider Identifier is 1497003370, issued on Aug 26, 2012. The primary taxonomy on file is Pharmacist (183500000X), and the practice location is in Portland, OR. The record was last updated on Aug 26, 2012.