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Individual

DR. NATHAN ROUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARM D

Contact information

Practice address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 385-1071
Mailing address
1340 NW WALL ST, BEND, OR 97703-1985
(541) 385-1071

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
15089
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
0015089
OR

Other

Enumeration date
06/09/2015
Last updated
07/21/2022
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