MS. EDYTH ADELE WILLARD PHARM D NPI 1154328664

NPI Information

NPI: 1154328664
Provider Name: MS. EDYTH ADELE WILLARD, PHARM D
Classification: Pharmacist - 1835P0018X
Entity Type: Individual

Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Address:
4531 SE BELMONT ST
SUITE 100
PORTLAND, OR
ZIP 97215
Phone: (503) 215-8774
Get Directions

MS. Edyth Adele Willard, PHARM D is a pharmacist clinician (phc)/ clinical pharmacy specialist pharmacist in Portland, OR. The provider is 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. MS. Edyth Adele Willard, PHARM D NPI is 1154328664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4531 SE BELMONT ST
SUITE 100
PORTLAND, OR
ZIP 97215-675
Phone: (503) 215-8774

The enumeration date for this NPI number is 6/30/2005 and was last updated on 10/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1835P1300X	Pharmacist	Psychiatric	11799	WASHINGTON	No
2	1835G0303X	Pharmacist	Geriatric	5654	OREGON	No
3	1835P0018X	Pharmacist	Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	5654	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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