Individual
MIKA MICHAELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-7702
Mailing address
1225 NE 2ND AVE, PORTLAND, OR 97232-2003
(503) 944-7702
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
0202209415
VA
1835P1300X
Psychiatric Pharmacist
Primary
RPH-0014816
OR
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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