Individual
DR. REBECCA LYNN QUANT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH
Contact information
Practice address
109 PLAGEMAN BUILDING, OREGON STATE UNIVERSITY, CORVALLIS, OR 97330-5801
(541) 737-3491
(541) 737-7616
Mailing address
109 PLAGEMAN BUILDING, OREGON STATE UNIVERSITY, CORVALLIS, OR 97331-5801
(541) 737-3491
(541) 737-7616
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010866
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-0010866
OR
Other
Enumeration date
09/13/2007
Last updated
01/22/2016
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