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Individual

MR. LARRY STEVEN BLANK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1 WESTERN OREGON SERVICE UNIT, CHEMAWA INDIAN HEALTH CENTER, SALEM, OR 97305-1111
(503) 304-7600
(503) 304-7678
Mailing address
131 NW 20TH ST, STE D, NEWPORT, OR 97365
(503) 304-7600

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9431
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
270030
OR
Enumeration date
01/18/2006
Last updated
07/13/2026
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