KAYLA RUTH WISE
Individual Provider (NPI-1)
Active
Pharmacy Technician
Provider Information
- NPI Number
1134791130- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 2130 MARCOLA RD, SPRINGFIELD, OR, 974772592
- Phone
- (541) 747-3362
- Fax
- (541) 741-2287
Specialties & Taxonomies
Pharmacy Technician
Primary License: OR #CPT-0012209