IndividualActive
Kristen Wilson, PHARM.D.
NPI 1992218838 · Geriatric Pharmacist · Portland, OR
Provider details
- NPI number
- 1992218838
- Entity type
- Individual
- Primary specialty
- Geriatric PharmacistPharmacy Service Providers
- Credential
- PHARM.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 48118 (WA)
Specialties & taxonomies
Pharmacy Service Providers
Pharmacy Service Providers
Practice location
4531 Se Belmont St Ste 100
Portland, OR 97215-1675
Phone: (503) 215-5973
Approximate (ZIP-level) locationGet directions
Mailing address
4531 Se Belmont St Ste 100
Portland, OR 97215-1675
Registry dates
- Enumerated
- 2017-11-14
- Last updated
- 2017-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.