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MR. STEVEN KIRK NELSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
2283 SW 4TH AVE, ONTARIO, OR 97914-1849
(541) 889-2188
Mailing address
1813 GRAHAM BLVD, VALE, OR 97918-5351
(541) 473-2930

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0008452-P
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RPH0008452-P
OREGON BOARD OF PHARMACY LICENSE
OR
Enumeration date
07/28/2008
Last updated
07/28/2008
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