Individual
KENNETH TRIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 SE STEPHENS ST, ROSEBURG, OR 97470-3136
(541) 672-4896
Mailing address
3019 NW STEWART PKWY, #304, PMB 216, ROSEBURG, OR 97471-1602
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017150
OR
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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