Individual
NICOLE MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
(541) 883-9042
Mailing address
2521 S 6TH ST, KLAMATH FALLS, OR 97601-4343
(541) 883-2210
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT0011942
OR
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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