Willard, Edyth Adele

Willard, Edyth Adele is an sole proprietor health care provider with primary practice located at 4531 Se Belmont St Suite 100, Portland OR 97215-1675. She recently has 3 registered licenses in different health care specialties including Pharmacy Service Providers / Psychiatric, Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, Pharmacy Service Providers / Geriatric. Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist is her primary health care specialty. Willard, Edyth Adele can be contacted via phone (503) 215-8774.

Contact Information

Primary practice address
4531 Se Belmont St Suite 100 Portland OR 97215-1675
Phone: (503) 215-8774
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Psychiatric 1835P1300X 11799 Washington
Pharmacy Service Providers / Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 5654 Oregon
Pharmacy Service Providers / Geriatric 1835G0303X 5654 Oregon

Profile Details

NPI number 1154328664
LBN Legal business name Willard, Edyth Adele
Credentials PHARM D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2005
Last updated Oct 12th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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