Thayne Edward Vickstrom
NPI #1265705768 in Corvallis, Oregon
Provider Information
- NPI Number
- 1265705768
- Entity Type
- Individual
- Name
- Thayne Edward Vickstrom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Enumeration Date
- Feb 14, 2012
- Last Updated
- Feb 14, 2012
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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