Michael A Grossnickle, RPH

NPI #1861940769 in Portland, Oregon

Provider Information

NPI Number: 1861940769
Entity Type: Individual
Name: Michael A Grossnickle, RPH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Credential: RPH
Enumeration Date: Sep 20, 2016
Last Updated: Jul 8, 2022

Practice Location

Address: 5420 NE 33RD AVE
City: Portland
State: Oregon
ZIP Code: 97211-7404
Phone: (971) 230-0153

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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