MS. EDYTH ADELE WILLARD PHARM D NPI 1154328664

NPI Information

  • NPI: 1154328664
  • Provider Name: MS. EDYTH ADELE WILLARD, PHARM D
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 4531 SE BELMONT ST
    SUITE 100
    PORTLAND, OR
    ZIP 97215
  • Phone: (503) 215-8774

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NPI Details

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
11835P1300XPharmacistPsychiatric11799WASHINGTONNo
21835G0303XPharmacistGeriatric5654OREGONNo
31835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist5654OREGONYes

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: 11/21/2025

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