Individual provider · Type 1 NPI

Ethan Meyer

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

NPI number 1770461550 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Fax (503) 494-8311

Mailing address

1535 SE 29th Ave Unit 6
Portland, OR 97214-4970

Specialties and licenses

TaxonomyCodeLicense
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Primary 1835P0018XRPH-0050629 (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 1770461550

Ethan Meyer's National Provider Identifier is 1770461550, issued on Aug 21, 2025. 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 10, 2026.