Individual
MICALA MIKAEL FOLKEDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2075 NE DIVISION ST, GRESHAM, OR 97030-5812
(503) 512-1040
Mailing address
2075 NE DIVISION ST, GRESHAM, OR 97030-5812
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6449
OR
Other
Enumeration date
05/06/2025
Last updated
05/12/2025
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