Individual
DR. KEITH PAPPAS POULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM, PHD
Contact information
Practice address
700 SW 30TH ST, CORVALLIS, OR 97331-8628
(608) 338-6444
Mailing address
700 SW 30TH ST, CORVALLIS, OR 97331-8628
(608) 338-6444
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
5662
WI
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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