Individual
DR. HASHIM TADESE ADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
444 SE STEPHENS ST, ROSEBURG, OR 97470-3136
(541) 672-4896
Mailing address
444 SE STEPHENS ST, ROSEBURG, OR 97470-3136
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
P9767
ID
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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