Daniel N Asay, PHARMD
Individual provider Active NPI Pharmacist · Portland, OR
NPI 1669748646 · NPPES record last updated Mar 24, 2012
Key facts
- NPI
- 1669748646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH-0012735 (OR)
- Practice address
- 1624 NE 56TH Ave
Portland, OR 97213-3656 - Phone
- (971) 207-4673
- NPI assigned
- Mar 24, 2012
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH-0012735 | OR | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH-0012735 | OR | Yes |
Addresses
Primary practice location
1624 NE 56TH Ave
Portland, OR 97213-3656
Mailing address
1624 NE 56TH Ave
Portland, OR 97213-3656
Phone (971) 207-4673
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.