Individual
MICHAEL TRE CLINE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT.
Contact information
Practice address
1505 WHITAKER DR SE, #201, SALEM, OR 97317-5912
(503) 269-2108
Mailing address
1505 WHITAKER DR SE, #201, SALEM, OR 97317-5912
(503) 269-2108
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21385
OR
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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