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Shamel Altoumeh

Student in an Organized Health Care Education/Training Program in Corvallis, OR. Individual provider (NPI-1).

NPI number1063252013
StatusActive
Last updated in NPPESMay 28, 2024

Details

NPI
1063252013
Entity type
Individual (NPI-1)
Name
Shamel Altoumeh
Sex
Male
Sole proprietor
No
Enumeration date
May 28, 2024
Certification date
May 28, 2024
Last updated
May 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Programpi-0014255ORYes

Practice location

203 Pharmacy Bldg
Corvallis, OR 97331-3507

Phone 541-737-3423

Mailing address

203 Pharmacy Bldg
Corvallis, OR 97331-8537

Phone 541-737-3423

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