Blane A Yimesgen

NPI #1386158459 in Lincoln City, Oregon

Provider Information

NPI Number: 1386158459
Entity Type: Individual
Name: Blane A Yimesgen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Pharmacist
Enumeration Date: Nov 27, 2017
Last Updated: Nov 27, 2017

Practice Location

Address: 4041 NW LOGAN RD
City: Lincoln City
State: Oregon
ZIP Code: 97367-5054
Phone: (541) 994-6262

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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