DEVON HEISLER
NPI 1154984763
Pharmacy in Gresham, OR

Active since April 18, 2019
24800 SE STARK ST, GRESHAM, OR 97030(503) 674-1122 Get Directions Write a Review

NPPES record last updated: April 18, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Devon Heisler NPPES

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

DEVON HEISLER (NPI 1154984763) is an individual pharmacy provider in Gresham, Oregon, licensed in Oregon (PI-0012696) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1154984763
Entity TypeIndividualFemale
Primary Taxonomy333600000X
Provider Legal NameDEVON HEISLER
Location Address24800 SE STARK STGresham, OR 97030-3378
Mailing Address2215 Se 37th AvePortland, OR 97214-5819 · (603) 903-3117
Sole ProprietorYes
Enumeration DateApril 18, 2019
NPI 1154984763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License Licensed in OR · PI-0012696
Definition
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
24800 SE STARK ST, Gresham, OR 97030

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.

Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST, EMERGENCY DEPARTMENT
GRESHAM, OR 97030
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Internal Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Emergency Medicine
24800 SE STARK ST
GRESHAM, OR 97030
Physical Therapist
24800 SE STARK ST
GRESHAM, OR 97030

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 Devon Heisler's NPI number?

The NPI number for Devon Heisler is 1154984763. It was assigned to this individual provider in the NPPES registry on April 18, 2019.

Where is Devon Heisler located?

Devon Heisler practices at 24800 SE Stark St, Gresham, OR 97030. The listed phone number is (503) 674-1122.

What is Devon Heisler's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Devon Heisler was last updated on April 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.