Individual
MS. KATHY L KETCHUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
500 SUMMER ST NE # E35, SALEM, OR 97301-1063
(503) 947-5220
Mailing address
500 SUMMER ST NE # E35, SALEM, OR 97301-1063
(503) 947-5220
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0007159
OR
Other
Enumeration date
04/21/2009
Last updated
04/21/2009
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