Organization
OREGON STATE UNIVERSITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA HAWK (DIRECTOR OFFICE SPONSORED PROJECTS)
(541) 737-4933
Entity
Organization
Contact information
Practice address
203 PHARMACY BLDG, CORVALLIS, OR 97331-8537
(541) 737-5786
Mailing address
203 PHARMACY BLDG, CORVALLIS, OR 97331-8537
(541) 737-5786
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0010734
OREGON BOARD OF PHARMACY
OR
Enumeration date
08/09/2012
Last updated
08/09/2012
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