Derek Andrus, RPH
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR
NPI 1104378199 · NPPES record last updated Oct 26, 2016
Key facts
- NPI
- 1104378199
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 7623 (OR)
- Practice address
- 5717 NW 138TH
Portland, OR 97230 - Phone
- (800) 548-9809
- NPI assigned
- Oct 26, 2016
- 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 |
|---|---|---|---|
| 7623 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 7623 | OR | Yes |
Addresses
Primary practice location
5717 NW 138TH
Portland, OR 97230
Mailing address
2351 NW Byrne Ter
Portland, OR 97229-4477
Phone (503) 621-6429
Other providers in Portland, OR
- Tracy Andrews
- Walker Andrews
- Montserrat Andreys
- Adeline Andriesian
- Georgina Andrist
- Torey Morgan Andrus
- Victor Andujo
- Andynd LLC
- Melinda Pilar Anello
- Anemt
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 Oct 26, 2016. 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.