Individual
STEPHEN HOTRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
444 PACIFIC AVE S, MONMOUTH, OR 97361-1543
(503) 838-1176
(866) 267-6597
Mailing address
2734 7TH AVE SE APT 3, ALBANY, OR 97322-5006
(208) 220-6291
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14106
OR
183500000X
Pharmacist
P7392
ID
Other
Enumeration date
02/06/2018
Last updated
03/17/2018
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