Individual
MICHAEL SCOTT EDMONDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
1245 NW 4TH ST, REDMOND, OR 97756-1680
(541) 526-1771
(541) 504-5476
Mailing address
1245 NW 4TH ST, REDMOND, OR 97756-1680
(541) 526-1771
(541) 504-5476
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
9008
OR
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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