Individual
DAN COLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
2995 SW VISTA DR, PORTLAND, OR 97225-4144
(503) 292-5761
Mailing address
2995 SW VISTA DR, PORTLAND, OR 97225-4144
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
7395
OR
1835X0200X
Oncology Pharmacist
Primary
7395
OR
Other
Enumeration date
12/23/2011
Last updated
12/23/2011
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