Individual
MR. RYAN AMOS MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARMD, BCPS
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
245 SW HOOKER ST, APT 1, PORTLAND, OR 97201-4774
(608) 212-9204
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
15475-040
WI
183500000X
Pharmacist
Primary
RPH-0011121
OR
1835P1200X
Pharmacotherapy Pharmacist
BCPS 308009953
OR
Other
Enumeration date
01/16/2010
Last updated
01/16/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us