Individual
CHARLOTTE GATIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1555 SW 53RD ST, CORVALLIS, OR 97333-2630
(541) 758-3392
Mailing address
1555 SW 53RD ST, CORVALLIS, OR 97333-2630
(541) 758-3392
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
12203
NC
183500000X
Pharmacist
Primary
RPH-0011252
OR
Other
Enumeration date
11/03/2011
Last updated
12/30/2022
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