Healthcare Provider Details

I. General information

NPI: 1518707561
Provider Name (Legal Business Name): LANA ARI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2024
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2725 SW CEDAR HILLS BLVD
BEAVERTON OR
97005-1416
US

IV. Provider business mailing address

2725 SW CEDAR HILLS BLVD
BEAVERTON OR
97005-1416
US

V. Phone/Fax

Practice location:
  • Phone: 503-352-6006
  • Fax:
Mailing address:
  • Phone: 503-352-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH-0021212
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: