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

Mr. Scott Wallis, RPH

Individual provider Pharmacist · NPI 1013369743

Mr. Scott Wallis, RPH is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2016.

Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

5717 NE 138th Ave
Portland, OR 97230-3409
Phone: (503) 261-7541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9033 (OR)
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist Taxonomy 1835P0018X · Licence 9033 (OR)

Record details

NPI number1013369743
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 6, 2016
Last updated in NPPESJuly 6, 2016
Mailing address8155 Sw Birchwood Rd, Portland, OR 97225-2737

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