SCOTT WALLIS

PORTLAND, OR
NPI1013369743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  9033)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  9033)
Enumeration Date2016-07-06
Last Update Date2016-07-06
Business Address
Mr. SCOTT WALLIS RPh
5717 NE 138TH AVE
PORTLAND, OR 97230-3409
Phone number: 503-261-7541
Mailing Address
Mr. SCOTT WALLIS RPh
8155 SW BIRCHWOOD RD
PORTLAND, OR 97225-2737
Phone number: 503-261-7541