IndividualActive
Alexis Proteau
NPI 1609308071 · Pharmacist · Roseburg, OR
Provider details
- NPI number
- 1609308071
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- T-0021549 (OR)
Practice location
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Phone: (541) 440-1000
Fax: (541) 440-1000
Mailing address
913 Nw Garden Valley Blvd
Roseburg, OR 97471-6523
Registry dates
- Enumerated
- 2017-04-03
- Last updated
- 2022-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.