IndividualActive
Nicholas Chang
NPI 1073865333 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Tualatin, OR
Provider details
- NPI number
- 1073865333
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0013312 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19200 Sw Martinazzi Ave
Tualatin, OR 97062-6357
Phone: (503) 691-4233
Street-level locationGet directions
Mailing address
1129 Sw Washington Street
Portland, OR 97205
Additional practice locations (1)
- 2800 Ne Hawthorne BlvdPortland, OR 97214Phone: (503) 232-3930
Registry dates
- Enumerated
- 2012-10-11
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.