Individual
MR. DEAN LUCAS CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
3740 MARKET ST NE, SALEM, OR 97301-1826
(503) 370-4351
(503) 370-4892
Mailing address
7555 SW BARBUR BLVD, PORTLAND, OR 97219-3090
(503) 452-3033
(503) 452-3027
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0013170
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
0013170
OR
Other
Enumeration date
07/18/2013
Last updated
05/09/2017
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