Healthcare Provider Details

I. General information

NPI: 1235040577
Provider Name (Legal Business Name): LEVI REDDING ABLES PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8145 SW BARBUR BLVD
PORTLAND OR
97219-2849
US

IV. Provider business mailing address

2431 SE 141ST AVE APT 1
PORTLAND OR
97233-2463
US

V. Phone/Fax

Practice location:
  • Phone: 503-452-6068
  • Fax:
Mailing address:
  • Phone: 907-953-4578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0021198
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: