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MR. BRENT FREDERICK RPH
NPI 1407306046
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since October 06, 2016
5717 NE 138TH AVE, PORTLAND, OR 97230(503) 261-2000(866) 404-1777 Get Directions Write a Review

NPPES record last updated: October 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Brent Frederick Rph NPPES

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

MR. BRENT FREDERICK RPH (NPI 1407306046) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (0008650) and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1407306046
Entity TypeIndividualMale
Primary Taxonomy1835P0018X
Provider Legal NameMR. BRENT FREDERICKCredential: RPH
Location Address5717 NE 138TH AVEPortland, OR 97230-3409
Mailing Address5717 Ne 138th AvePortland, OR 97230-3409 · (503) 261-2000 · Fax (866) 404-1777
Phone(503) 261-2000
Fax(866) 404-1777
Sole ProprietorNo
Enumeration DateOctober 6, 2016
Last NPPES UpdateOctober 11, 2016
✔ NPI 1407306046 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 · 0008650
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.
5717 NE 138TH AVE, Portland, OR 97230
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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.

DONNA L WOLFER RPH
Pharmacist (Pharmacotherapy)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
MR. SCOTT WALLIS RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
KELA EDVALSON RPH
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 729-3825
MELANIE HLAVACKA PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
PADMINI NAIDU RPH
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7951
DR. SCOTT KAGAWA NAKASHIMADA PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 571-5391
MEGAN JONES PHARMD
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541
DR. WENDY MICHELLE JENKINS PHARM.D.
Pharmacist
5717 NE 138TH AVE
PORTLAND, OR 97230
Multnomah County (503) 261-7541

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 Brent Frederick's NPI number?

The NPI number for Brent Frederick is 1407306046. It was assigned to this individual provider in the NPPES registry on October 6, 2016.

Where is Brent Frederick located?

Brent Frederick practices at 5717 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 261-2000.

What is Brent Frederick'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 Brent Frederick was last updated on October 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.