Individual
DR. MICHAEL SIDENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH, PHARMD
Contact information
Practice address
2130 MARCOLA RD, SPRINGFIELD, OR 97477-2592
(541) 747-3362
Mailing address
2130 MARCOLA RD, SPRINGFIELD, OR 97477-2592
(541) 747-3362
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017450
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RPH-0017450
BOARD OF PHARMACY
OR
Enumeration date
04/17/2018
Last updated
11/03/2025
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