George, Michael

George, Michael is an individual health care provider with primary practice located at 2925 Ryan Dr Se , Salem OR 97301-9687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. George, Michael can be contacted via phone (503) 399-1264.

Contact Information

Primary practice address
2925 Ryan Dr Se Salem OR 97301-9687
Fax: (503) 371-0777
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 24205 Oregon

Profile Details

NPI number 1922050236
LBN Legal business name George, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated May 9th, 2008 - about 16 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 1922050236 NPPES
Oregon MEDICAID 226948

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