MR. Scott Wallis, RPH

NPI #1013369743 in Portland, Oregon

Provider Information

NPI Number: 1013369743
Entity Type: Individual
Name: MR. Scott Wallis, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Jul 6, 2016
Last Updated: Jul 6, 2016

Practice Location

Address: 5717 NE 138TH AVE
City: Portland
State: Oregon
ZIP Code: 97230-3409
Phone: (503) 261-7541

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist	1835P0018X

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