Individual
DAVID NI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205
(503) 535-3889
(503) 961-8241
Mailing address
7931 SW 40TH AVE APT C, PORTLAND, OR 97219-3598
(408) 203-4464
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
PH60768137
WA
183500000X
Pharmacist
Primary
RPH-0016267
OR
Other
Enumeration date
04/13/2016
Last updated
09/06/2019
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