Migchelbrink, Suzanne L

Migchelbrink, Suzanne L is an individual health care provider with primary practice located at 19250 Sw 65Th Ave Ste 110, Tualatin OR 97062-7452. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Migchelbrink, Suzanne L can be contacted via phone (503) 692-1205.

Contact Information

Primary practice address
19250 Sw 65Th Ave Ste 110 Tualatin OR 97062-7452
Phone: (503) 692-1205
Fax: (503) 692-1207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21844 Oregon

Profile Details

NPI number 1174592190
LBN Legal business name Migchelbrink, Suzanne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Apr 20th, 2020 - about 5 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 1174592190 NPPES
Oregon MEDICAID 287446

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