Individual
MR. MICHAEL THOMAS DOTTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
10202 SE 32ND AVE, SUITE 701, MILWAUKIE, OR 97222-3610
(503) 513-2122
(503) 513-2105
Mailing address
10202 SE 32ND AVE, SUITE 701, MILWAUKIE, OR 97222-3610
(503) 513-2122
(503) 513-2105
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0011069
OR
1835P1200X
Pharmacotherapy Pharmacist
Primary
11069
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
326676
EMPLOYEE #
—
Enumeration date
08/24/2007
Last updated
03/11/2009
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