Individual
ELIZABETH STEFAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1535 N 1ST AVE, STAYTON, OR 97383-1213
(503) 769-5345
Mailing address
1535 N 1ST AVE, STAYTON, OR 97383-1213
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9922
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9922
STATE PHARMACIST LICENSE
OR
Enumeration date
02/19/2012
Last updated
05/27/2015
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