Individual
LYNDSEY RENAE DUBISAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1727 SW ODEM MEDO RD, REDMOND, OR 97756-9573
(541) 923-7223
(541) 923-7228
Mailing address
1727 SW ODEM MEDO RD, REDMOND, OR 97756-9573
(541) 923-7223
(541) 923-7228
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0006375
OR
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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