Individual
DEANE CHARLES DEIBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
891 SE 1ST AVE, CANBY, OR 97013-3811
(503) 266-6381
(541) 389-0298
Mailing address
891 SE 1ST AVE, CANBY, OR 97013-3811
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0009682
OR
Other
Enumeration date
09/21/2009
Last updated
09/21/2009
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