Active NPI
Jamie Talbo, PHARMD
- Pharmacist
- Lake Oswego, OR
National Provider Identifier
1063203461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH-0020520
- Practice address
- 4025 Mercantile Dr Ste 110
Lake Oswego, OR 97035-2518 - Phone
- (503) 387-8167
- NPI assigned
- May 14, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0020520 | OR | Primary |
Addresses
Primary practice location
4025 Mercantile Dr Ste 110
Lake Oswego, OR 97035-2518
Mailing address
7700 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2101
Other practice location 1
7700 SW Beaverton Hillsdale Hwy
Portland, OR 97225-2101
Phone (503) 203-4033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0020520 | OR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oregon CVS Pharmacy LLC | Current | Accepting new patients | |
| Oregon CVS Pharmacy LLC | Past | Accepting new patients | |
| Fred Meyer Stores Inc. | Past | Accepting new patients |
Locations
4025 Mercantile Dr
Ste 110
Lake Oswego, OR 97035
Phone (503) 387-8167
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1063203461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7700 SW BEAVERTON HILLSDALE HWY",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972252101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4025 MERCANTILE DR STE 110",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970352518",
"telephone_number": "503-387-8167"
}
],
"practiceLocations": [
{
"address_1": "7700 SW Beaverton Hillsdale Hwy",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972252101",
"country_code": "US",
"telephone_number": "503-203-4033",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TALBO",
"first_name": "JAMIE",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-14",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OR",
"license": "RPH-0020520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Oswego, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.