Individual
TIFFANY K DUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
525 SE WASHINGTON ST, DALLAS, OR 97338-2834
(503) 917-2013
(503) 917-2033
Mailing address
1685 SISTERS CT NW, SALEM, OR 97304-2092
(503) 881-8880
(503) 917-2033
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0008073
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0008073
OR
1835P2201X
Ambulatory Care Pharmacist
RPH-0008073
OR
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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