IndividualActive
Kelle Miyama, PHARMD
NPI 1992373864 · Pharmacist · Keizer, OR
Kelle Miyama, PHARMD is a Pharmacist provider in Keizer, OR (NPI 1992373864).
Provider details
- NPI number
- 1992373864
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- PHARMD
- Sex
- Male
- Sole proprietor
- Yes
- License
- RPH-0018028 (OR)
Practice location
5685 Inland Shores Way N
Keizer, OR 97303-3794
Phone: (503) 779-2271
Street-level locationGet directions
Mailing address
5685 Inland Shores Way N
Keizer, OR 97303-3794
Registry dates
- Enumerated
- 2021-06-16
- Last updated
- 2022-08-08
- Certified
- 2022-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.