Aia Ali, RPH

Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Portland, OR

NPI 1417612912 · NPPES record last updated Nov 2, 2021

Key facts

NPI
1417612912
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
RPH0018297 (OR)
Practice address
940 SE Cesar Estrada Chavez Blvd
Portland, OR 97214
Phone
(503) 238-6053
NPI assigned
Nov 1, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
RPH0018297ORMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Walgreen Co Past
since Nov 9, 2021
Accepting new patients
Walgreen Co Past
since Nov 9, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH0018297 OR
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X RPH0018297 OR Yes

Addresses

Primary practice location

940 SE Cesar Estrada Chavez Blvd
Portland, OR 97214

Mailing address

2405 NE John Olsen Ave Apt 421
Hillsboro, OR 97006-6761
Phone (973) 874-6017

Other providers in Portland, OR

All providers in Portland, OR · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Oregon

Sources for this page

Verify at the official NPI Registry.