Individual
MR. BRUCE ERIC BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
655 NW GREENWOOD AVE, SUITE #1, REDMOND, OR 97756-1533
(541) 923-3822
(541) 923-8754
Mailing address
655 NW GREENWOOD AVE, SUITE #1, REDMOND, OR 97756-1533
(541) 923-3822
(541) 923-8754
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
7711
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080218
—
OR
Enumeration date
07/03/2006
Last updated
07/08/2007
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