Individual
DEAN PRIVRATSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
4780 ROYAL AVE, EUGENE, OR 97402-1755
(541) 463-9559
(541) 463-9802
Mailing address
4780 ROYAL AVE, EUGENE, OR 97402-1755
(541) 463-9559
(541) 463-9802
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0006586
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0006586
STATE PHARMACIST LICENSE
OR
Enumeration date
02/09/2012
Last updated
02/09/2012
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