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Individual

JOHN MARVIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1675 W 18TH AVE, EUGENE, OR 97402-3814
(541) 485-9269
Mailing address
16300 SE EVELYN ST, CLACKAMAS, OR 97015-9515
(503) 305-9700

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0016180
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0016180
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0012844
OR

Other

Enumeration date
07/14/2017
Last updated
07/21/2022
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