Provider Demographics
NPI:1316344799
Name:BELCHER, MICHELE (RPH)
Entity type:Individual
Prefix:
First Name:MICHELE
Middle Name:
Last Name:BELCHER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:414 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526-2810
Mailing Address - Country:US
Mailing Address - Phone:541-476-4262
Mailing Address - Fax:541-474-1443
Practice Address - Street 1:414 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526-2810
Practice Address - Country:US
Practice Address - Phone:541-476-4262
Practice Address - Fax:541-474-1443
Is Sole Proprietor?:No
Enumeration Date:2014-12-01
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR0007563183500000X
OR75631835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
No183500000XPharmacy Service ProvidersPharmacist