Individual
JOSHUA SEIDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
515 MT HOOD ST, THE DALLES, OR 97058
(541) 296-3190
Mailing address
515 MT HOOD ST, THE DALLES, OR 97058
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0015521
OR
Other
Enumeration date
09/14/2016
Last updated
09/14/2016
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