Individual
DR. MIKAELA JADE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD, RPH, MBA
Contact information
Practice address
2600 CENTER ST NE, SALEM, OR 97301-2669
(503) 947-8086
Mailing address
4764 LIBERTY RD S APT 331, SALEM, OR 97302-5294
(503) 941-8086
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0017449
OR
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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