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ALIX FREDRICKSON RPH
NPI 1710169396
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since December 05, 2007
5717 NE 138TH AVE, PORTLAND, OR 97230(503) 261-7541(503) 261-2048 Get Directions Write a Review

NPPES record last updated: May 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alix Fredrickson Rph NPPES

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

ALIX FREDRICKSON RPH (NPI 1710169396) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (9207) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1710169396
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameALIX FREDRICKSONCredential: RPH
Location Address5717 NE 138TH AVEPortland, OR 97230-3409
Mailing Address5717 Ne 138th AvePortland, OR 97230-3409 · (888) 658-7548
Phone(503) 261-7541
Fax(503) 261-2048
Sole ProprietorNo
Enumeration DateDecember 5, 2007
Last NPPES UpdateMay 21, 2025
NPPES CertifiedMay 21, 2025
✔ NPI 1710169396 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
Licenses✔ Licensed in OR · 9207✔ Licensed in WA · PH60225852
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 Alix Fredrickson's NPI number?

The NPI number for Alix Fredrickson is 1710169396. It was assigned to this individual provider in the NPPES registry on December 5, 2007.

Where is Alix Fredrickson located?

Alix Fredrickson practices at 5717 NE 138th Ave, Portland, OR 97230. The listed phone number is (503) 261-7541.

What is Alix Fredrickson'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 Alix Fredrickson was last updated on May 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.