Amy H Barnickel, PHARMD
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR
NPI 1386287449 · NPPES record last updated May 22, 2025
Key facts
- NPI
- 1386287449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 0010472 (OR)
- Practice address
- 1015 NW 22ND Ave
Portland, OR 97210-3025 - Phone
- (503) 413-7145
- NPI assigned
- Oct 22, 2019
- Sex
- Female
- 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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0010472 | OR | MD | Pharmacist |
| 0010472 | OR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0010472 | OR | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 0010472 | OR | Yes |
Addresses
Primary practice location
1015 NW 22ND Ave
Portland, OR 97210-3025
Mailing address
2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (503) 997-3222
Other practice location 1
2875 NE Stucki Ave
Hillsboro, OR 97124-5806
Phone (971) 310-4050
Other providers in Portland, OR
- Sean Erik Barnett
- Tracy Barnett
- Edward Barnhart
- Elizabeth Barnhart
- Teejay Barnhart
- Carli Renee Barnum
- Stanley Lamons Barnwell
- Alicema Barocio
- Eden Hannah Baron-Williams
- Greg James Baron
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 May 22, 2025. 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.