Individual
TENZIN BOTTOROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 WOODLAND DR, SUITE A, COOS-BAY, OR 97420-2099
(541) 267-4815
(541) 267-4873
Mailing address
1900 WOODLAND DR, STE A, WALGREENS #15153, COOS BAY, OR 97420-2099
(541) 267-4815
(541) 267-4873
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009818
OR
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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