Individual
DR. WAYNE A KRADJAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D.
Contact information
Practice address
1601 SW JEFFERSON STREET, OREGON STATE UNIVERSITY - COLLEGE OF PHARMACY, CORVALLIS, OR 97331-3507
(541) 737-5785
(541) 737-3999
Mailing address
1025 NW HEATHER DR., CORVALLIS, OR 97330-3009
(541) 757-9693
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
26714
CA
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
00009405
WA
1835P1200X
Pharmacotherapy Pharmacist
Primary
0009696
OR
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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