Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Walter Mathis, PHARMD

Individual provider Pharmacist · NPI 1003190315

Dr. Walter Mathis, PHARMD is a Pharmacist in Ontario, Oregon. Practices as a sole proprietor. Licensed in Idaho, Montana and Oregon.

Licensed in
ID, MT, OR
In the registry since
2011
Specialties on file
3
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

65 SE Goodfellow St
Ontario, OR 97914-3016
Phone: (541) 889-6288
Fax: (541) 889-5675
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0012637 (OR)
Pharmacist Taxonomy 183500000X · Licence P6524 (ID)
Pharmacist Taxonomy 183500000X · Licence 5302 (MT)

Record details

NPI number1003190315
Entity typeIndividual (Type 1)
GenderMale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedOctober 5, 2011
Last updated in NPPESOctober 5, 2011
Mailing address65 Se Goodfellow St, Ontario, OR 97914-3016

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