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MS. MARYLOU WACEK
NPI 1336408616
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since May 08, 2012
4849 NE 138TH AVE, PORTLAND, OR 97230(503) 257-3935(503) 253-3747 Get Directions Write a Review

NPPES record last updated: December 31, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Marylou Wacek NPPES

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

MS. MARYLOU WACEK (NPI 1336408616) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (4981) and active in the NPI registry since May 2012.

NPPES Registry Identity

NPI1336408616
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMS. MARYLOU WACEK
Location Address4849 NE 138TH AVEPortland, OR 97230-3401
Mailing Address4849 Ne 138th AvePortland, OR 97230-3401 · (503) 257-3935 · Fax (503) 257-3935
Phone(503) 257-3935
Fax(503) 253-3747
Sole ProprietorNo
Enumeration DateMay 8, 2012
Last NPPES UpdateDecember 31, 2015
✔ NPI 1336408616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · 4981
Definition
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.
Also ListedPharmacistTaxonomy 183500000X · License 4981 (OR)
4849 NE 138TH AVE, Portland, OR 97230
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Other Providers at the Same Location NPPES 19

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

ETHAN JAMES DENTLER RPH
Pharmacist
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
PATRICIA NHI NGUYEN PHARMD
Pharmacist
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
HENRY MARIN RPH
Pharmacist
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
CHARLES STEVE BYARS RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
DR. STEVEN DEAN PORTER O.D.
Optometrist
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 256-7940
COSTCO WHOLESALE CORPORATION
Pharmacy (Community/Retail Pharmacy)
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
JEFFREY MANGUM
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 257-3935
COSTCO WHOLESALE CORPORATION
Hearing Aid Equipment
4849 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 258-3713

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 Marylou Wacek's NPI number?

The NPI number for Marylou Wacek is 1336408616. It was assigned to this individual provider in the NPPES registry on May 8, 2012.

Where is Marylou Wacek located?

Marylou Wacek practices at 4849 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 257-3935.

What is Marylou Wacek's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Marylou Wacek was last updated on December 31, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.