Individual
LOREN PODOLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CRATER LAKE HWY, MEDFORD, OR 97504-4161
(541) 779-5110
Mailing address
1920 MADRAS ST SE, APT 2028, SALEM, OR 97306-2082
(701) 212-6805
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0013627
OR
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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