Individual
NATHANIEL BRABHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 814-2105
Mailing address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 302-5289
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9873
OR
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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