Individual provider · Type 1 NPI

Lisa Ann M. Wilson, RPH

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

NPI number 1760998066 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (503) 674-4766 Map

Mailing address

12447 SE William Otty Rd
Happy Valley, OR 97086-6278

Other practice locations

  • 19500 SE Stark St, Portland, OR 97233-5757 · (503) 674-4766

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XRPH-0008146 (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 1760998066

Lisa Ann M. Wilson, RPH's National Provider Identifier is 1760998066, issued on Dec 21, 2017. 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 Mar 17, 2018.