Individual
MISS STEPHANIE RODENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
5415 MAIN ST, SPRINGFIELD, OR 97478-6279
(541) 736-3418
(541) 736-3415
Mailing address
5415 MAIN ST, SPRINGFIELD, OR 97478-6279
(541) 736-3418
(541) 736-3415
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7799
OR
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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