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Individual

ALI ABOOSAIEDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
501 NW ELKS DR, CORVALLIS, OR 97330-3757
(541) 768-6368
Mailing address
501 NW ELKS DR, CORVALLIS, OR 97330-3757
(541) 768-6368

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0017566
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0017566
OR

Other

Enumeration date
05/11/2020
Last updated
06/19/2020
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