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

MS. Marylou Wacek

Individual provider Pharmacist · NPI 1336408616

MS. Marylou Wacek 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

Practice location Address checks out

4849 NE 138th Ave
Portland, OR 97230-3401
Phone: (503) 257-3935
Fax: (503) 253-3747
Show map & directions

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 4981 (OR)
Pharmacist Taxonomy 183500000X · Licence 4981 (OR)

Record details

NPI number1336408616
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2012
Last updated in NPPESDecember 31, 2015

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