Individual
DAVID MWANIKI NJERU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12640 SE MADISON ST, PORTLAND, OR 97233-1227
(657) 254-2591
Mailing address
12640 SE MADISON ST, PORTLAND, OR 97233-1227
(657) 254-2591
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
202102498LPN
OR
Other
Enumeration date
04/16/2022
Last updated
04/16/2022
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