MR. EDWIN M. MICKELSON JR. RPH
NPI 1962716282
Pharmacist in Cornelius, OR

Active since July 28, 2010
115 N 20TH AVE, CORNELIUS, OR 97113(503) 357-0762(503) 357-0904 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edwin M. Mickelson Jr. Rph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWIN M. MICKELSON JR. RPH (NPI 1962716282) is an individual pharmacist in Cornelius, Oregon, licensed in Oregon (RPH-0006856) and active in the NPI registry since July 2010.

NPPES Registry Identity

NPI1962716282
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMR. EDWIN M. MICKELSON JR.Credential: RPH
Location Address115 N 20TH AVECornelius, OR 97113-7471
Mailing Address115 N 20th AveCornelius, OR 97113-7471 · (503) 357-0762 · Fax (503) 357-0904
Fax(503) 357-0904
Sole ProprietorNo
Enumeration DateJuly 28, 2010
NPI 1962716282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in OR · RPH-0006856
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
115 N 20TH AVE, Cornelius, OR 97113

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
115 N 20TH AVE
CORNELIUS, OR 97113
Pharmacist
115 N 20TH AVE
CORNELIUS, OR 97113
Pharmacy
115 N 20TH AVE
CORNELIUS, OR 97113
Pharmacist
115 N 20TH AVE
CORNELIUS, OR 97113

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Mickelson's NPI number?

The NPI number for Edwin Mickelson is 1962716282. It was assigned to this individual provider in the NPPES registry on July 28, 2010.

Where is Edwin Mickelson located?

Edwin Mickelson practices at 115 N 20th Ave, Cornelius, OR 97113. The listed phone number is (503) 357-0762.

What is Edwin Mickelson's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Edwin Mickelson was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.