Individual
BLANE A YIMESGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4041 NW LOGAN RD, LINCOLN CITY, OR 97367-5054
(541) 994-6262
Mailing address
7117 N ATLANTIC AVE, PORTLAND, OR 97217-5207
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0016374
OR
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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