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Kriscia Mariana Rivas

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

NPI number1669262002
StatusActive
Last updated in NPPESMay 8, 2025

Details

NPI
1669262002
Entity type
Individual (NPI-1)
Name
Kriscia Mariana Rivas
Sex
Female
Sole proprietor
Yes
Enumeration date
May 8, 2025
Certification date
May 8, 2025
Last updated
May 8, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1601 Sw Jefferson Ave Bldg 203
Corvallis, OR 97331-8656

Phone 541-737-3424

Mailing address

203 Pharmacy Bldg
Corvallis, OR 97331-8537

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