Individual
MRS. LINDA KAY BAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-5225
(541) 768-5226
Mailing address
3521 NW SAMARITAN DR STE 202, CORVALLIS, OR 97330-4744
(541) 768-5225
(541) 768-5226
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
8588
OR
1835P2201X
Ambulatory Care Pharmacist
8588
OR
Other
Enumeration date
12/29/2015
Last updated
02/12/2016
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