Individual
DING REN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2659 OLYMPIC ST, SPRINGFIELD, OR 97477
(541) 744-3085
(541) 744-6677
Mailing address
250 F STREET APT 23, SPRINGFIELD, OR 97477
(918) 853-9286
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
16104
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
16104
OR
Other
Enumeration date
09/04/2017
Last updated
04/06/2018
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