Individual provider · Type 1 NPI

Pete Bryant, STUDENT

Student in an Organized Health Care Education/Training Program · Corvallis, OR

NPI number 1669772968 Active

Practice location

530 NW 27th St
Corvallis, OR 97330-5223

Call (541) 766-6835 Map

Mailing address

1111 Satara Ct NW
Salem, OR 97304-2811

Specialties and licenses

TaxonomyCodeLicense
Pharmacist 183500000XPI-0010074 (OR)
Student in an Organized Health Care Education/Training Program Primary 390200000XPI-0010074 (OR)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1669772968

Pete Bryant, STUDENT's National Provider Identifier is 1669772968, issued on Nov 2, 2010. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Corvallis, OR. The record was last updated on Nov 2, 2010.