Individual
MARIA JOSE MONTENEGRO OREAMUNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19655 HARVARD PL, BEND, OR 97702-3368
(970) 964-8638
Mailing address
19655 HARVARD PL, BEND, OR 97702-1023
(970) 964-8638
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-001383
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-001383
OR
Other
Enumeration date
10/01/2013
Last updated
12/31/2015
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