Keven Peterson, 1835P0018X
NPI #1194101873 in Mcminnville, Oregon
Provider Information
- NPI Number
- 1194101873
- Entity Type
- Individual
- Name
- Keven Peterson, 1835P0018X
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- 1835P0018X
- Enumeration Date
- Aug 5, 2015
- Last Updated
- Dec 24, 2015
Practice Location
- Address
- 2490 NE HIGHWAY 99W
- City
- Mcminnville
- State
- Oregon
- ZIP Code
- 97128-9204
- Phone
- (503) 435-3125
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
| Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist — Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
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