Individual
DR. DANI MIDASO GOBANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
4346 NE CULLY BLVD, PORTLAND, OR 97218-2206
(503) 288-0836
(503) 288-2250
Mailing address
18512 SW RIGERT RD, BEAVERTON, OR 97007-5681
(503) 422-2194
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012404
OR
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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