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MICHAEL SEAN PHELPS CPHT

Individual Provider (NPI-1) Active

Pharmacy Technician

Provider Information

NPI Number
1629792668
Provider Type
Individual Provider (NPI-1)
Credentials
CPHT
Status
Active

Contact & Location

Address
12360 E BURNSIDE ST, PORTLAND, OR, 972331042
Phone
(971) 279-4800
Fax
(971) 279-2763

Specialties & Taxonomies

Pharmacy Technician License: WA #VA60433526
Pharmacy Technician Primary License: OR #CPT-0009066

All Addresses

MAILING

1776 SW MADISON ST

PORTLAND, OR, 972051715

(503) 224-1044

LOCATION

12360 E BURNSIDE ST

PORTLAND, OR, 972331042

(971) 279-4800