Individual
MICAELA HERSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
873 NW OAK AVE, CORVALLIS, OR 97330-1518
(360) 608-2791
Mailing address
7731 E NORTHERN LIGHTS BLVD, ANCHORAGE, AK 99504-3572
(907) 339-1760
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
Primary
PI-0014100
OR
Other
Enumeration date
09/30/2024
Last updated
09/13/2025
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