Individual
MS. LINDA BOTTORFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 E MAIN ST, COTTAGE GROVE, OR 97424-2208
(541) 942-7443
Mailing address
1500 E MAIN ST, COTTAGE GROVE, OR 97424-2208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
5626
OR
Other
Enumeration date
11/06/2010
Last updated
11/06/2010
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