Individual
DOUGLAS M COSSEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2900 HAWORTH AVE, NEWBERG, OR 97132-2000
(503) 538-0691
Mailing address
2900 HAWORTH AVE, NEWBERG, OR 97132-2000
(503) 538-0691
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007428
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0007428
STATE PHARMACIST LICENSE
OR
Enumeration date
11/30/2012
Last updated
11/30/2012
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