Individual
PRANALI SANDEEP GODBOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 SW JEFFERSON WAY, 203 PHARMACY BUILDING, CORVALLIS, OR 97331
(541) 737-3424
Mailing address
743 NW 11TH ST UNIT 24, CORVALLIS, OR 97330-6063
(541) 286-2150
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI-0014554
OR
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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