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Individual

MR. STEVEN EUGENE FORESTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
R.PH.

Contact information

Practice address
1010 7TH AVE SW, ALBANY, OR 97321-1922
(541) 812-5071
Mailing address
1555 SW 53RD ST, CORVALLIS, OR 97333-2630
(541) 758-3392

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0008660
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH-0008660
PHARMACY LICENSE NUMBER
OR
Enumeration date
08/29/2012
Last updated
07/28/2022
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