Individual
MS. KRISTI JO MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7591 CRATER LAKE HWY, WHITE CITY, OR 97503-1618
(541) 826-4414
(541) 826-8366
Mailing address
PO BOX 2517, WHITE CITY, OR 97503-0517
(541) 826-4414
(541) 826-8366
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7344
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043229
—
OR
Enumeration date
08/19/2006
Last updated
07/08/2007
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