Doctor Name: | MR. RYAN DAVIS |
NPI Number: | 1518231372 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | T-0017409 |
Business Practice Address: | 20000 Se Highway 212 Damascus, OR - 970898717 |
Business Phone Number: | 5035588606 |
Business Fax Number: | 5035589326 |
Mailing Address: | 20000 Se Highway 212, DAMASCUS |
State: | OR |
Postal Code: | 970898717 |
Phone Number: | 5035588606 |
Fax Number: | 5035589326 |
NPI Enumeration Date: | 02/25/2012 |
NPI Last Update Date: | 02/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 183700000X |
License Number: | T-0017409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Pharmacy Service Providers |
Taxonomy Classification: | Pharmacy Technician |
Taxonomy Specialization: | |
Taxonomy Definition: | A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |