Individual
KELLE MIYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD
Contact information
Practice address
5685 INLAND SHORES WAY N, KEIZER, OR 97303-3794
(503) 779-2271
Mailing address
5685 INLAND SHORES WAY N, KEIZER, OR 97303-3794
(503) 779-2271
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH-0018028
OR
Other
Enumeration date
06/16/2021
Last updated
08/08/2022
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