Individual
GREGORY EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 389-6007
Mailing address
1242 NW CUMBERLAND AVE, BEND, OR 97703-3115
(541) 389-6007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0009371-P
OR
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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