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Kerri Raven Waldron, PHARMD
Student in an Organized Health Care Education/Training Program in Lebanon, Oregon
NPI 1245963693

Kerri Raven Waldron is a Student in an Organized Health Care Education/Training Program based in Corvallis, OR. Kerri Raven Waldron practices in Lebanon, OR and has the professional credentials of PHARMD. The NPI Number for Kerri Raven Waldron is 1245963693 and holds a License No. PI-0013372 (Oregon).

The current practice location address for Kerri Raven Waldron is 100 Mullins Dr Ste A1, Lebanon, OR and can be reached out via phone at 541-766-0200 and via fax at 541-766-6618.

Location: 100 Mullins Dr Ste A1, Lebanon, OR, 97330-3466
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245963693
Provider Name
Kerri Raven Waldron
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
100 Mullins Dr Ste A1, Lebanon, OR, 97330-3466
Phone Number
541-766-0200
Fax Number
541-766-6618
Provider Enumeration Date
07/04/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
100 Mullins Dr Ste A1
City
Lebanon
State
Oregon
Zip
97355-2868
Phone Number
541-766-0200
Fax Number
541-766-6618
person
Provider Business Mailing Address Details
Address
100 Mullins Dr Ste A1
City
Lebanon
State
Oregon
Zip
97355-2868
Phone Number
541-766-0200
Fax Number
541-766-6618
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
PI-0013372 (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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