Individual
KEITH PHILLIP DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
R.PH.
Contact information
Practice address
8640 SE CAUSEY AVE APT S202, HAPPY VALLEY, OR 97086-8595
(503) 353-2517
Mailing address
8640 SE CAUSEY AVE APT S202, HAPPY VALLEY, OR 97086-8595
(503) 353-2517
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007232
OR
Other
Enumeration date
06/01/2012
Last updated
06/01/2012
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