Munly, Michael James
Munly, Michael James is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 735 , Portland OR 97225-6634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Munly, Michael James can be contacted via phone (503) 297-1351.Contact Information
Primary practice address
9155 Sw Barnes Rd Ste 735
Portland OR 97225-6634
Phone: (503) 297-1351
Fax: (503) 297-2851
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 171532 | Oregon |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD171532 | Oregon |
Profile Details
NPI number | 1740423847 |
---|---|
LBN Legal business name | Munly, Michael James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 20th, 2009 |
Last updated | Nov 21st, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740423847 | NPPES |
Washington | MEDICAID | 2024806 | |
Washington | MEDICAID | 500656111 |
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