Provider Demographics
NPI:1821362765
Name:PI, RICK (PHARMD)
Entity Type:Individual
Prefix:
First Name:RICK
Middle Name:
Last Name:PI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6495 SE TUALATIN VALLEY HWY
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-8486
Mailing Address - Country:US
Mailing Address - Phone:503-848-4583
Mailing Address - Fax:503-848-4577
Practice Address - Street 1:6495 SE TUALATIN VALLEY HWY
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-8486
Practice Address - Country:US
Practice Address - Phone:503-848-4583
Practice Address - Fax:503-848-4577
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRPH-0011368183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist