Individual
MRS. CATHY HODGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1455 EDGEWATER ST NW, SALEM, OR 97304-4633
(503) 365-2174
Mailing address
8930 NW LORRI PL, CORVALLIS, OR 97330-9500
(503) 365-2174
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0006150
OR
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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