Nikolaisen, Jeffrey Robert

Nikolaisen, Jeffrey Robert is an individual health care provider with primary practice located at 439 Southeast 223Rd Avenue , Gresham OR 97030. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Nikolaisen, Jeffrey Robert can be contacted via phone (503) 667-0394.

Contact Information

Primary practice address
439 Southeast 223Rd Avenue Gresham OR 97030
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0011289 Oregon

Profile Details

NPI number 1356595821
LBN Legal business name Nikolaisen, Jeffrey Robert
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2008
Last updated Nov 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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