MR. Jeffrey Robert Nikolaisen, PHARM D.

NPI #1356595821 in Gresham, Oregon

Provider Information

NPI Number: 1356595821
Entity Type: Individual
Name: MR. Jeffrey Robert Nikolaisen, PHARM D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: PHARM D.
Enumeration Date: Nov 11, 2008
Last Updated: Nov 11, 2008

Practice Location

Address: 439 SOUTHEAST 223RD AVENUE
City: Gresham
State: Oregon
ZIP Code: 97030
Phone: (503) 667-0394

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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