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Individual

MATTHEW E LASSFOLK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
R.PH., M.S.

Contact information

Practice address
1690 ALLEN CREEK RD, GRANTS PASS, OR 97527-5559
(541) 471-9046
Mailing address
1400 NE HERITAGE DR, GRANTS PASS, OR 97526-3503
(541) 660-4323

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007639
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
RPH-7639
OR

Other

Enumeration date
12/18/2011
Last updated
02/11/2019
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