Individual
DR. CHRISTOPHER JORGENSEN DE TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
3290 S SANTIAM HWY, LEBANON, OR 97355-3737
(541) 258-7440
Mailing address
40 HATTON AVE APT 301, EUGENE, OR 97404-6814
(530) 545-3747
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
2018026765
MO
183500000X
Pharmacist
Primary
RPH-0016820
OR
Other
Enumeration date
09/17/2018
Last updated
09/17/2018
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