MR. Raymond Paul Micciche III, R.PH.

NPI #1063728095 in Beaverton, Oregon

Provider Information

NPI Number: 1063728095
Entity Type: Individual
Name: MR. Raymond Paul Micciche III, R.PH.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: R.PH.
Enumeration Date: Aug 27, 2010
Last Updated: Aug 27, 2010

Practice Location

Address: 14600 SW MURRAY SCHOLLS DR STE 201
City: Beaverton
State: Oregon
ZIP Code: 97007-9712
Phone: (503) 579-1878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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