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MR. GARY EDWIN NELSON R.PH
NPI 1396290201
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since August 20, 2016
1700 NE 102ND AVE, PORTLAND, OR 97220(866) 279-4581 Get Directions Write a Review

NPPES record last updated: April 28, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Gary Edwin Nelson R.ph NPPES

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

MR. GARY EDWIN NELSON R.PH (NPI 1396290201) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (7022) and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1396290201
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. GARY EDWIN NELSONCredential: R.PH
Location Address1700 NE 102ND AVEPortland, OR 97220-3804
Mailing Address3667 Se Durango PlGresham, OR 97080-7357 · (503) 341-2712
Phone(866) 279-4581
Sole ProprietorNo
Enumeration DateAugust 20, 2016
Last NPPES UpdateApril 28, 2020
NPPES CertifiedApril 28, 2020
✔ NPI 1396290201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in OR · 7022
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.
1700 NE 102ND AVE, Portland, OR 97220
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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.

DR. SAMANTHA MACLEOD POTTER D.O.
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (800) 813-2000
TONY J ZHAO RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6990
ALLEN LEE PHARM.D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (866) 279-4581
KATELYN HAYWORTH PHARMD
Pharmacist
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (971) 229-6768
CHRISTINE ANNE VAN WIE FNP
Nurse Practitioner (Family)
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
MS. JESSIE ROBERTA HANN MS,RD,LD,CD,CDCES
Dietitian, Registered
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 250-4326
DR. JENNIFER S LIN MD
Internal Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 813-2000
KAVYA TIMMIREDDY MD
Family Medicine
1700 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (800) 813-2000

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 Gary Nelson's NPI number?

The NPI number for Gary Nelson is 1396290201. It was assigned to this individual provider in the NPPES registry on August 20, 2016.

Where is Gary Nelson located?

Gary Nelson practices at 1700 NE 102nd Ave, Portland, OR 97220. The listed phone number is (866) 279-4581.

What is Gary Nelson'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 Gary Nelson was last updated on April 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.