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Edwin Mickelson, RPH — NPI 1962716282, Cornelius, OR | NPI Central

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NPI 1962716282

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Edwin Mickelson, RPH

NPI 1962716282 · Pharmacist · Cornelius, OR

Provider details

NPI number: 1962716282
Entity type: Individual
Primary specialty: PharmacistPharmacy Service Providers
Credential: RPH
Sex: Male
Sole proprietor: No
License: RPH-0006856 (OR)

Specialties & taxonomies

PharmacistPrimary183500000XLicense RPH-0006856 (OR)
Pharmacy Service Providers

Practice location

115 N 20th Ave

Cornelius, OR 97113-7471

Phone: (503) 357-0762

Fax: (503) 357-0904

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

115 N 20th Ave

Cornelius, OR 97113-7471

Registry dates

Enumerated: 2010-07-28
Last updated: 2010-07-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.