IndividualActive
John Fossitt, PHARM.D.
NPI 1235595190 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR
Provider details
- NPI number
- 1235595190
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 0014670 (OR)
Specialties & taxonomies
Pharmacy Service Providers
Practice location
3181 Sw Sam Jackson Park Rd
Department of Pharmacy
Portland, OR 97239-3011
Phone: (503) 494-4660
Approximate (ZIP-level) locationGet directions
Mailing address
3181 Sw Sam Jackson Park Rd
Portland, OR 97239-3011
Registry dates
- Enumerated
- 2016-01-07
- Last updated
- 2016-01-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.