Jesse Bierman, PHARMD

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

NPI 1700544491 · NPPES record last updated Nov 30, 2021

Key facts

NPI
1700544491
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
License
0011791 (OR)
Practice address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone
(503) 494-8007
NPI assigned
Nov 30, 2021
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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
0011791ORMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 0011791 OR Yes

Addresses

Primary practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Mailing address

7129 SW Burlingame Ave
Portland, OR 97219-2132
Phone (971) 998-8283

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.