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Search › Oregon › Pharmacist

Thayne Vickstrom

NPI 1265705768 · on the registry since 2012

Practice

Address
1555 Sw 53rd St
Corvallis, OR 97333
Phone
(541) 758-3392
Fax
(541) 758-4159
Organisation at this address
Walgreen Co
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Pharmacist
183500000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-02-14
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon