Individual
MS. JAN M MOSS-MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
2000 MARCOLA RD, SPRINGFIELD, OR 97477-2562
(541) 746-9424
(541) 744-8110
Mailing address
2000 MARCOLA RD, SPRINGFIELD, OR 97477-2562
(541) 746-9424
(541) 744-8110
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8500
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
8500
OR
Other
Enumeration date
09/09/2008
Last updated
01/23/2018
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