Eckroth, Michelle D.

Eckroth, Michelle D. is an individual health care provider with primary practice located at 534 Pleasant View Way Nw Suite 100, Albany OR 97321-1789. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Eckroth, Michelle D. can be contacted via phone (541) 812-5656.

Contact Information

Primary practice address
534 Pleasant View Way Nw Suite 100 Albany OR 97321-1789
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD19737 Oregon

Profile Details

NPI number 1972544377
LBN Legal business name Eckroth, Michelle D.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Nov 9th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972544377 NPPES
Oregon MEDICAID 150019

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