Individual
COREEN STANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
391 NW DOUGLAS BLVD, WINSTON, OR 97496-8567
(541) 679-4801
Mailing address
PO BOX 1186, WINSTON, OR 97496-1186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0012772
OR
Other
Enumeration date
02/11/2012
Last updated
02/11/2012
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