Individual
KATHLEEN MAY VAN HANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1569
Mailing address
342 FAIRVIEW ST, SILVERTON, OR 97381-1993
(503) 873-1569
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0010863
OR
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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