Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lisa Ann M Wilson, RPH

Individual provider Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · NPI 1760998066

Lisa Ann M Wilson, RPH is a Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Portland, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2017
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

19500 SE Stark St
Portland, OR 97233-5757
Phone: (503) 674-4766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19500 Se Stark St, Portland, OR 97233-5757 — (503) 674-4766

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence RPH-0008146 (OR)

Record details

NPI number1760998066
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPH
Sole proprietorNo
NPI enumeratedDecember 21, 2017
Last updated in NPPESMarch 17, 2018

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