Individual
MR. ROGER ERIC HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-2944
(503) 947-1085
Mailing address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 945-2944
(503) 947-1085
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0010935
OR
Other
Enumeration date
07/16/2013
Last updated
07/17/2013
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