Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Edwin M. Mickelson Jr., RPH

Individual provider Pharmacist · NPI 1962716282

Mr. Edwin M. Mickelson Jr., RPH is a Pharmacist in Cornelius, Oregon. Licensed in Oregon. Registered with an NPI since 2010.

Licensed in
OR
In the registry since
2010
What do these letters mean?
RPH — Registered Pharmacist
A pharmacist licensed by a state board.

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Practice location Address checks out

115 N 20th Ave
Cornelius, OR 97113-7471
Phone: (503) 357-0762
Fax: (503) 357-0904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH-0006856 (OR)

Record details

NPI number1962716282
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedJuly 28, 2010
Last updated in NPPESJuly 28, 2010

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