Individual
RYAN ALAN HANSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1377 NE STEPHENS ST, ROSEBURG, OR 97470-2159
(541) 672-1509
Mailing address
2803 NW KLINE ST, ROSEBURG, OR 97471-5552
(541) 517-2746
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013904
OR
Other
Enumeration date
12/01/2013
Last updated
12/01/2013
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