Individual provider · Type 1 NPI

Alix Fredrickson, RPH

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR

NPI number 1710169396 Active

Practice location

5717 NE 138th Ave
Portland, OR 97230-3409

Call (503) 261-7541 Map

Fax (503) 261-2048

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018XPH60225852 (WA)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018X9207 (OR)

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist: Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.

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About NPI 1710169396

Alix Fredrickson, RPH's National Provider Identifier is 1710169396, issued on Dec 5, 2007. The primary taxonomy on file is Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (1835P0018X), and the practice location is in Portland, OR. The record was last updated on May 21, 2025.