Individual
MARY KATHERINE BURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5125 SKYLINE RD S, SALEM, OR 97306-9427
(503) 361-5400
Mailing address
2925 PRAIRIE CT, LAWRENCE, KS 66046-6110
(785) 550-8185
Taxonomy
Speciality
Code
Description
License number
State
1835X0200X
Oncology Pharmacist
Primary
RPH-0014064
OR
Other
Enumeration date
07/21/2015
Last updated
07/21/2015
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