Individual
DAVIS ISAMI HANAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, RN
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1198
(035) 304-7602
(808) 537-7896
Mailing address
3750 CHEMAWA RD NE, SALEM, OR 97305-1198
(035) 304-7602
(808) 537-7896
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
RN63082
HI
1835P2201X
Ambulatory Care Pharmacist
Primary
RPH-0017197
OR
Other
Enumeration date
09/24/2008
Last updated
04/12/2021
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