KEVEN PETERSON

MCMINNVILLE, OR
NPI1194101873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: OR  RPH-0014096)
Additional Taxonomies1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
(Licence: OR  RPH-0014096)
Enumeration Date2015-08-05
Last Update Date2015-12-24
Business Address
-- KEVEN PETERSON 1835P0018X
2490 NE HIGHWAY 99W
MCMINNVILLE, OR 97128-9204
Phone number: 503-435-3125
Mailing Address
-- KEVEN PETERSON 1835P0018X
1655 NW 23RD ST
MCMINNVILLE, OR 97128-6601
Phone number: 503-857-0677