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

Mr. Raymond Paul Micciche III, RPH

Individual provider Pharmacist · NPI 1063728095

Mr. Raymond Paul Micciche III, RPH is a Pharmacist in Beaverton, 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

14600 SW Murray Scholls Dr Ste 201
Beaverton, OR 97007-9712
Phone: (503) 579-1878
Fax: (503) 579-0988
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 9147 (OR)

Record details

NPI number1063728095
Entity typeIndividual (Type 1)
GenderMale
Credentials RPH
Sole proprietorNo
NPI enumeratedAugust 27, 2010
Last updated in NPPESAugust 27, 2010

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