Individual
ADAM DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
14625 SW ALLEN BLVD, BEAVERTON, OR 97007-3697
(503) 643-2724
Mailing address
12593 SE RIVER RD APT 156, MILWAUKIE, OR 97222-8015
(573) 429-1214
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016095
OR
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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