IndividualActive
Alix Fredrickson, RPH
NPI 1710169396 · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR
Provider details
- NPI number
- 1710169396
- Entity type
- Individual
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
- Credential
- RPH
- Sex
- Female
- Sole proprietor
- No
- License
- PH60225852 (WA)
Practice location
5717 Ne 138th Ave
Portland, OR 97230-3409
Phone: (503) 261-7541
Fax: (503) 261-2048
Mailing address
5717 Ne 138th Ave
Portland, OR 97230-3409
Registry dates
- Enumerated
- 2007-12-05
- Last updated
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.