Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jessie Chan

Individual provider Pharmacist · NPI 1487929394

Jessie Chan is a Pharmacist in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2012.

Licensed in
OR
In the registry since
2012
Specialties on file
2
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Practice location Address checks out

1111 NE 102nd Ave
Portland, OR 97220-3902
Phone: (503) 255-5494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (primary) Taxonomy 1835P0018X · Licence 11443 (OR)
Pharmacist Taxonomy 183500000X · Licence 0011443 (OR)

Record details

NPI number1487929394
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 12, 2012
Last updated in NPPESApril 26, 2017

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