LISA ANN M WILSON RPH NPI 1760998066

NPI Information

Lisa Ann M Wilson, RPH 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. Lisa Ann M Wilson, RPH NPI is 1760998066. 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:

19500 SE STARK ST
PORTLAND, OR
ZIP 97233-757
Phone: (503) 674-4766

The enumeration date for this NPI number is 12/21/2017 and was last updated on 3/17/2018.

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:

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