John, Michelle L

John, Michelle L is an individual health care provider with primary practice located at 24988 Se Stark St Suite 220, Gresham OR 97030-8322. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. John, Michelle L can be contacted via phone (503) 674-1580.

Contact Information

Primary practice address
24988 Se Stark St Suite 220 Gresham OR 97030-8322
Phone: (503) 674-1580
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD25190 Oregon

Profile Details

NPI number 1336108208
LBN Legal business name John, Michelle L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Feb 24th, 2011 - about 13 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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