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Individual

IAN MELVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
38241 PROCTOR BLVD, SANDY, OR 97055-8019
(503) 668-1384
Mailing address
38241 PROCTOR BLVD, SANDY, OR 97055-8019

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010961
OR

Other

Enumeration date
11/10/2008
Last updated
11/10/2008
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