MR. SCOTT WALLIS RPH
NPI 1013369743
Pharmacist in Portland, OR

Active since July 06, 2016
5717 NE 138TH AVE, PORTLAND, OR 97230(503) 261-7541 Get Directions Write a Review

NPPES record last updated: July 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Scott Wallis Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. SCOTT WALLIS RPH (NPI 1013369743) is an individual pharmacist in Portland, Oregon, licensed in Oregon (9033) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1013369743
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. SCOTT WALLISCredential: RPH
Location Address5717 NE 138TH AVEPortland, OR 97230-3409
Mailing Address8155 Sw Birchwood RdPortland, OR 97225-2737 · (503) 261-7541
Sole ProprietorNo
Enumeration DateJuly 6, 2016
NPI 1013369743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · 9033
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Also ListedPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy 1835P0018X · License 9033 (OR)
5717 NE 138TH AVE, Portland, OR 97230

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Scott Wallis's NPI number?

The NPI number for Scott Wallis is 1013369743. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Scott Wallis located?

Scott Wallis practices at 5717 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 261-7541.

What is Scott Wallis's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Scott Wallis was last updated on July 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.