Provider Demographics
NPI:1720237670
Name:NEGLEY, DAN W (RPH)
Entity type:Individual
Prefix:
First Name:DAN
Middle Name:W
Last Name:NEGLEY
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10180 SE SUNNYSIDE ROAD
Mailing Address - Street 2:C/O KAISER SUNNYSIDE MEDICAL CENTER INPATIENT PHARMACY
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-9303
Mailing Address - Country:US
Mailing Address - Phone:503-571-4665
Mailing Address - Fax:501-571-4256
Practice Address - Street 1:10180 SE SUNNYSIDE ROAD
Practice Address - Street 2:KAISER SUNNYSIDE MEDICAL CENTER INPATIENT PHARMACY
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9303
Practice Address - Country:US
Practice Address - Phone:503-571-4665
Practice Address - Fax:501-571-4256
Is Sole Proprietor?:No
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR6113183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist