Individual
MARY VALENTINE LUTTROPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 382-4321
Mailing address
20170 PUTNAM LN, BEND, OR 97703-8935
(503) 680-6774
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013219
OR
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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