NPI 1003247024

Ryan Alan Hansen, RPH

Practitioner Pharmacist Roseburg, OR

Practice location

Address: 1377 NE Stephens St, Roseburg, OR 97470-2159
Phone: (541) 672-1509
Mailing address: 2803 NW Kline St, Roseburg, OR 97471-5552

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence RPH-0013904 (OR)

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Registry record

NPI: 1003247024
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2013
Record last updated: 1 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.