Mickelson, Ryan Amos

Mickelson, Ryan Amos is an individual health care provider with primary practice located at 3750 Chemawa Rd Ne , Salem OR 97305-1119. He recently has 2 registered licenses in different health care specialties including Pharmacy Service Providers / Pharmacist, Pharmacy Service Providers / Pharmacotherapy. Pharmacy Service Providers / Pharmacist is his primary health care specialty. Mickelson, Ryan Amos can be contacted via phone (503) 304-7600.

Contact Information

Primary practice address
3750 Chemawa Rd Ne Salem OR 97305-1119
Phone: (503) 304-7600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 15475-040 Wisconsin
Pharmacy Service Providers / Pharmacist 183500000X RPH-0011121 Oregon
Pharmacy Service Providers / Pharmacotherapy 1835P1200X BCPS 308009953 Oregon

Profile Details

NPI number 1437480316
LBN Legal business name Mickelson, Ryan Amos
Credentials PHARMD, BCPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2010
Last updated Jan 16th, 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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