Mickelson, Edwin M.

Mickelson, Edwin M. is an individual health care provider with primary practice located at 115 N 20Th Ave , Cornelius OR 97113-7471. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Mickelson, Edwin M. can be contacted via phone (503) 357-0762.

Contact Information

Primary practice address
115 N 20Th Ave Cornelius OR 97113-7471
Phone: (503) 357-0762
Fax: (503) 357-0904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH-0006856 Oregon

Profile Details

NPI number 1962716282
LBN Legal business name Mickelson, Edwin M.
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2010
Last updated Jul 28th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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