Individual
SAMANTHA EHRENFELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2727 NE HIGHWAY 20, BEND, OR 97701-9595
(541) 633-4467
Mailing address
2727 NE HIGHWAY 20, BEND, OR 97701-9595
(541) 633-4467
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018224
OR
390200000X
Student in an Organized Health Care Education/Training Program
PI-0013097
OR
Other
Enumeration date
07/10/2018
Last updated
01/10/2021
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