Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1003224064 Individual Practitioner Male Practitioner

Ebisa Deressa

Pharmacist • Portland, OR

Professional Overview & Biography Verified Profile Summary

Ebisa Deressa is a registered healthcare professional specializing in Pharmacist in Portland, OR. Practice services are available at 1123 N HAYDEN MEADOWS DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1123 N Hayden Meadows Dr

Portland, OR 972177547

Telephone 5032056661
Fax 5032056661

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Portland, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
942 Specialists

Practicing in Portland, OR (3654 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License OR 13751

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
NPI 1003223207

Doctor of Pharmacy (Pharm.D.)

NPI 1093338980

Doctor of Pharmacy (Pharm.D.)

NPI 1659788776

Pharmacist

NPI 1891282307

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2014

Registered at 1123 N HAYDEN MEADOWS DR, PORTLAND, OR 972177547 (Tel: 5032056661)

📍
Updated Business Mailing Address July 22, 2014

Registered at 1123 N HAYDEN MEADOWS DR, PORTLAND, OR 972177547 (Tel: 5032056661)

👤
Provider Name / Credentials Updated July 22, 2014

Recorded as EBISA DERESSA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2014

Pharmacist (License #13751 in OR)

🟢
Initial NPI Registration & Enumeration July 22, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1003224064
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2014
Last Update: July 22, 2014
Sole Proprietor: No

Mailing Address

1123 N Hayden Meadows Dr

Portland, OR 972177547

Phone: 5032056661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.