Individual
RYAN F GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2655 SHASTA WAY, KLAMATH FALLS, OR 97603-4455
(541) 884-1086
Mailing address
523 LINCOLN ST, KLAMATH FALLS, OR 97601-3050
(541) 379-0348
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016781
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016781
OR
Other
Enumeration date
08/28/2018
Last updated
01/12/2021
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