Individual
KYLE CHAD OBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4550 W 11TH AVE, EUGENE, OR 97402-5414
(541) 344-2370
Mailing address
4550 W 11TH AVE, EUGENE, OR 97402-5414
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017054
OR
Other
Enumeration date
05/10/2019
Last updated
05/10/2019
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