Individual
DR. MARC DAVID RIZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(503) 228-4533
Mailing address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0011329
OR
1835G0303X
Geriatric Pharmacist
RPH-0011325
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0011329
OR
1835P2201X
Ambulatory Care Pharmacist
RPH-0011329
OR
Other
Enumeration date
04/21/2010
Last updated
10/13/2021
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