Provider Demographics
NPI:1831349919
Name:HANAI, DAVIS ISAMI (PHARMD, RN)
Entity type:Individual
Prefix:
First Name:DAVIS
Middle Name:ISAMI
Last Name:HANAI
Suffix:
Gender:M
Credentials:PHARMD, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3750 CHEMAWA RD NE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97305-1198
Mailing Address - Country:US
Mailing Address - Phone:035-304-7602
Mailing Address - Fax:808-537-7896
Practice Address - Street 1:3750 CHEMAWA RD NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1198
Practice Address - Country:US
Practice Address - Phone:035-304-7602
Practice Address - Fax:808-537-7896
Is Sole Proprietor?:No
Enumeration Date:2008-09-24
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIRN63082163WP0807X
ORRPH-00171971835P2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P2201XPharmacy Service ProvidersPharmacistAmbulatory Care
No163WP0807XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Child & Adolescent