Individual
MS. SHERI L SIDDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1010 HAWTHORNE AVE SE, SALEM, OR 97301-5090
(503) 371-8739
(503) 371-0294
Mailing address
1010 HAWTHORNE AVE SE, SALEM, OR 97301-5090
(503) 371-8739
(503) 371-0294
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
8731
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8731
OR
Other
Enumeration date
11/19/2009
Last updated
01/01/2016
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