LISA ANN M WILSON RPH NPI 1760998066

NPI Information

  • NPI: 1760998066
  • Provider Name: LISA ANN M WILSON, RPH
  • Classification: Pharmacist - 1835P0018X
  • Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Entity Type: Individual
  • Address: 19500 SE STARK ST
    PORTLAND, OR
    ZIP 97233
  • Phone: (503) 674-4766

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11835P0018XPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistRPH-0008146OREGONYes

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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