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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY GOSTANIAN

Active Sole Proprietor

CARLY GOSTANIAN is a Pharmacy healthcare provider located in KEIZER, Oregon. NPI 1740776319 is currently active in the NPPES registry. Verify at CMS.

Pharmacy · KEIZER, OR

Registration Details

NPI Number
1740776319
Provider Type
Individual
Gender
Female
NPI Issued
Jul 7, 2018 (8.0977013183333 yrs)
Last Updated
Jul 7, 2018
License
PI-0012993 (OR)
Sole Proprietor
Yes

Practice Information

Address
3862 RIVER RD N
KEIZER, OR, 973034866
Browse OR providers · Browse ZIP 97303
Phone
5033716717
Primary Specialty
Pharmacy
333600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.