LISA ANN M WILSON RPH
NPI 1760998066
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, OR

Active since December 21, 2017
19500 SE STARK ST, PORTLAND, OR 97233(503) 674-4766 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Dec 21, 2017 (2 updates tracked since 2017).

About Lisa Ann M Wilson Rph NPPES

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

LISA ANN M WILSON RPH (NPI 1760998066) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Portland, Oregon, licensed in Oregon (RPH-0008146) and active in the NPI registry since December 2017. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1760998066
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameLISA ANN M WILSONCredential: RPH
Location Address19500 SE STARK STPortland, OR 97233-5757
Mailing Address12447 Se William Otty RdHappy Valley, OR 97086-6278
Sole ProprietorNo
Enumeration DateDecember 21, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1760998066 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 · RPH-0008146
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.
19500 SE STARK ST, Portland, OR 97233

Secondary Practice Location 1

Location 119500 SE Stark StPortland, OR 97233-5757 · Phone (503) 674-4766

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.

Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Nurse Practitioner (Family)
19500 SE STARK ST, PORTLAND
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
19500 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Psychologist (Clinical)
19500 SE STARK ST
PORTLAND, OR 97233
Advanced Practice Midwife
19500 SE STARK ST
PORTLAND, OR 97233
Internal Medicine
19500 SE STARK ST
PORTLAND, OR 97233
Social Worker
19500 SE STARK ST
PORTLAND, OR 97233

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 Lisa Wilson's NPI number?

The NPI number for Lisa Wilson is 1760998066. It was assigned to this individual provider in the NPPES registry on December 21, 2017.

Where is Lisa Wilson located?

Lisa Wilson practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (503) 674-4766.

What is Lisa Wilson'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 Lisa Wilson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.