| Doctor Name: | LISA EDMONDSON |
| NPI Number: | 1013219682 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 9099 |
| Business Practice Address: | 1705 S Highway 97 Redmond, OR - 977569647 |
| Business Phone Number: | 5415044166 |
| Business Fax Number: | |
| Mailing Address: | 1705 S Highway 97, REDMOND |
| State: | OR |
| Postal Code: | 977569647 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/02/2010 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1835P0018X |
| License Number: | 9099 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | OR |
| Taxonomy Type: | Pharmacy Service Providers |
| Taxonomy Classification: | Pharmacist |
| Taxonomy Specialization: | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Taxonomy Definition: | Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |