Individual
DR. IAN G STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
777 NW KINGS BLVD, CORVALLIS, OR 97330-5620
(541) 754-5583
(541) 754-5577
Mailing address
777 NW KINGS BLVD, CORVALLIS, OR 97330-5620
(541) 754-5583
(541) 754-5577
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0013804
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0013804
OR
Other
Enumeration date
09/28/2013
Last updated
04/27/2017
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