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Individual

COLLEEN CORDIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2051 NE BLUEBIRD CT, BEND, OR 97701-3907
(541) 330-8635
Mailing address
2051 NE BLUEBIRD CT, BEND, OR 97701-3907

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
RPH-0009791
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
RPH-0009791
OR

Other

Enumeration date
05/24/2019
Last updated
05/30/2019
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