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Individual

AARON NICHOLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-1299
Mailing address
16903 SE 28TH ST, VANCOUVER, WA 98683-3409

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
PI-0011199
OR
183500000X
Pharmacist
RPH-0015659
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0015659
OR

Other

Enumeration date
06/02/2015
Last updated
09/11/2019
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