Individual
DENISE BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 5TH ST, BROOKINGS, OR 97415-9658
(503) 539-5238
Mailing address
255 LANCASTER DR NE, SALEM, OR 97301-5155
(503) 576-8340
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0007377
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH0007377
OR
Other
Enumeration date
05/05/2016
Last updated
08/31/2024
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