Individual
DR. BENJAMIN ROBERT MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHARM D
Contact information
Practice address
3800 SE 22ND AVE, PORTLAND, OR 97202-2918
(503) 797-3661
(503) 797-3960
Mailing address
3800 SE 22ND AVE, PORTLAND, OR 97202
(503) 797-3661
(503) 797-3960
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0012403
OR
183500000X
Pharmacist
03230522
OH
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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