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JESSIE CHAN
NPI 1487929394
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since March 12, 2012
1111 NE 102ND AVE, PORTLAND, OR 97220(503) 255-5494 Get Directions Write a Review

NPPES record last updated: April 26, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jessie Chan NPPES

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

JESSIE CHAN (NPI 1487929394) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (11443) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1487929394
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameJESSIE CHAN
Location Address1111 NE 102ND AVEPortland, OR 97220-3902
Mailing Address1111 Ne 102nd AvePortland, OR 97220-3902 · (503) 255-5494
Phone(503) 255-5494
Sole ProprietorNo
Enumeration DateMarch 12, 2012
Last NPPES UpdateApril 26, 2017
✔ NPI 1487929394 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 · 11443
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 0011443 (OR)
1111 NE 102ND AVE, Portland, OR 97220
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Other Providers at the Same Location NPPES 7

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

NATIONAL VISION, INC.
Eyewear Supplier
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782
SATTA JIVAGUNCHAINAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
DR. JILL SCHEIFFELE O.D.
Optometrist (Low Vision Rehabilitation)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782
FRED MEYER STORES INC
Pharmacy (Community/Retail Pharmacy)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
QUAN TRAN
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
ADA LI PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-5494
DR. MARGARET MARY PIATZ BENCK O.D.
Optometrist
1111 NE 102ND AVE
PORTLAND, OR 97220
Multnomah County (503) 255-7782

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 Jessie Chan's NPI number?

The NPI number for Jessie Chan is 1487929394. It was assigned to this individual provider in the NPPES registry on March 12, 2012.

Where is Jessie Chan located?

Jessie Chan practices at 1111 NE 102nd Ave, Portland, OR 97220. The listed phone number is (503) 255-5494.

What is Jessie Chan'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 Jessie Chan was last updated on April 26, 2017. 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.