Benjamin Robert Michaels, PHARM D

Primary specialty

PharmacistTaxonomy code 183500000X

License

0012403 Issued in OR

Practice address

3800 SE 22ND Ave
Portland, OR 97202-2918

Phone

(503) 797-3661

Fax

(503) 797-3960

NPI assigned

Sep 16, 2010

Last updated

Sep 16, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1710295340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 SE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-797-3661",
            "fax_number": "503-797-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 SE 22ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972022918",
            "telephone_number": "503-797-3661",
            "fax_number": "503-797-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAELS",
        "first_name": "BENJAMIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHARM D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230522",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0012403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Michael
• Rex Michael
• Larissa Marie Michaelis
• Philippe Brian Michaelis
• Andrew Jacob Michaels, MD
• Faith Michaels, LMT
• Landon Michaels, PSY.D.
• Mika Michaels, RPH
• Ellen Marion Michaelson, MD
• Kevin Anthony Michaelson, CADC 1

• Pharmacist in Portland, OR
• Providers in Portland, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.