Christopher O Alaka, RPH, C.C.R.A
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR
NPI 1083982706 · NPPES record last updated Dec 8, 2011
Key facts
- NPI
- 1083982706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 0011938 (OR)
- Practice address
- 19500 SE Stark St
Portland, OR 97233-5757 - Phone
- (888) 658-7548
- Fax
- (503) 669-3972
- NPI assigned
- Dec 8, 2011
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0011938 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 60101466 | WA | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0011938 | OR | Yes |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 60101466 | WA |
Addresses
Primary practice location
19500 SE Stark St
Portland, OR 97233-5757
Mailing address
19500 SE Stark St
Portland, OR 97233-5757
Phone (888) 658-7548
Other providers in Portland, OR
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- Lana Al-Rashdan
- Amira Al-Uzri
- Talal Alabduljalil
- Leonie North Alaeddine
- John S Alam
- Kelsey Susan Alama
- Alameda Dental LLC
- Lyndsay E. Alameda
- Halah S Alameri
All providers in Portland, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.