Individual
EVERETT SUTHERLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2788 RIVER RD, EUGENE, OR 97404-2048
(541) 607-1541
Mailing address
2953 SHADOW VIEW DR APT 525, EUGENE, OR 97408-7498
(407) 446-0255
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016233
OR
Other
Enumeration date
09/17/2017
Last updated
09/17/2017
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